Difference between revisions of "Trapezium fracture"
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==Management== | ==Management== | ||
| + | {{General Fracture Management}} | ||
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| + | ===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