Difference between revisions of "Trapezium fracture"
ClaireLewis (talk | contribs) (→Disposition) |
(→Management) |
||
| Line 17: | Line 17: | ||
==Management== | ==Management== | ||
| + | {{General Fracture Management}} | ||
| + | |||
| + | ===Immobilization=== | ||
*Short arm [[thumb spica splint]] | *Short arm [[thumb spica splint]] | ||
| − | |||
==Disposition== | ==Disposition== | ||
Revision as of 04:48, 18 September 2019
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
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- Short arm thumb spica splint
Disposition
- Discharge with close hand/ortho follow up
See Also
References
Authors:
Claire, Jordan Swartz, Michael Holtz, Neil Young, Daniel Ostermayer, Ross Donaldson