Difference between revisions of "Trapezium fracture"

(Text replacement - "fx " to "fracture ")
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*Weak pinch
 
*Weak pinch
 
*TTP at apex of anatomic snuffbox, base of thenar eminence
 
*TTP at apex of anatomic snuffbox, base of thenar eminence
 
==Imaging==
 
*Best seen on 20-degree pronated oblique view
 
[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Carpal fractures}}
 
{{Carpal fractures}}
 +
 +
==Evaluation==
 +
*Hand x-ray (best seen on 20-degree pronated oblique view)
 +
 +
[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]
  
 
==Management==
 
==Management==
 
*Short arm [[thumb spica splint]]
 
*Short arm [[thumb spica splint]]
 
*Displaced fracture >1mm or diastasis >2mm require surgery
 
*Displaced fracture >1mm or diastasis >2mm require surgery
 +
 +
==Disposition==
 +
  
 
==See Also==
 
==See Also==
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==References==
 
==References==
 
<references/>
 
<references/>
 
  
 
[[Category:Orthopedics]]
 
[[Category:Orthopedics]]

Revision as of 20:56, 4 July 2017

Background

  • Occurs via direct blow to thumb or dorsiflexion and radial deviation force
  • Major complication is nonunion

Clinical Features

  • Painful thumb movement
  • Weak pinch
  • TTP at apex of anatomic snuffbox, base of thenar eminence

Differential Diagnosis

Carpal fractures

AP view

Evaluation

  • Hand x-ray (best seen on 20-degree pronated oblique view)
Trapezium fracture

Management

Disposition

See Also

References