Difference between revisions of "Trapezium fracture"
Neil.m.young (talk | contribs) (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 | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Carpal fractures}} | {{Carpal fractures}} | ||
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| + | ==Evaluation== | ||
| + | *Hand x-ray (best seen on 20-degree pronated oblique view) | ||
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| + | [[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 | ||
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| + | ==Disposition== | ||
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==See Also== | ==See Also== | ||
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==References== | ==References== | ||
<references/> | <references/> | ||
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[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 20:56, 4 July 2017
Contents
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
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Evaluation
- Hand x-ray (best seen on 20-degree pronated oblique view)
Management
- Short arm thumb spica splint
- Displaced fracture >1mm or diastasis >2mm require surgery