Difference between revisions of "Trapezium fracture"

(Disposition)
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==Disposition==
 
==Disposition==
 
+
*Discharge with close hand/ortho follow up
  
 
==See Also==
 
==See Also==

Revision as of 16:40, 17 September 2019

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

  • Discharge with close hand/ortho follow up

See Also

References