Difference between revisions of "Trapezium fracture"

(Disposition)
(Management)
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==Management==
 
==Management==
 +
{{General Fracture Management}}
 +
 +
===Immobilization===
 
*Short arm [[thumb spica splint]]
 
*Short arm [[thumb spica splint]]
*Displaced fracture >1mm or diastasis >2mm require surgery
 
  
 
==Disposition==
 
==Disposition==

Revision as of 04:48, 18 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

General Fracture Management

Immobilization

Disposition

  • Discharge with close hand/ortho follow up

See Also

References