Difference between revisions of "Trapezium fracture"

(Management)
(Disposition)
 
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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
 
==Imaging==
 
*Best seen on 20-degree pronated oblique view
 
[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]
 
  
 
==Differential Diagnosis==
 
==Differential Diagnosis==
 
{{Carpal fractures}}
 
{{Carpal fractures}}
 +
 +
==Evaluation==
 +
*Hand x-ray (best seen on 20-degree pronated oblique view)
 +
 +
[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]
  
 
==Management==
 
==Management==
 +
{{General Fracture Management}}
 +
 +
===Immobilization===
 
*Short arm [[thumb spica splint]]
 
*Short arm [[thumb spica splint]]
*Displaced fx >1mm or diastasis >2mm require surgery
+
 
 +
==Disposition==
 +
*Discharge with close hand/ortho follow up
 +
 
 +
===Specialty Care===
 +
*Displaced fracture >1mm or diastasis >2mm require surgery
  
 
==See Also==
 
==See Also==
 
*[[Carpal fractures]]
 
*[[Carpal fractures]]
  
==Source==
+
==References==
*Tintinalli
+
<references/>
  
[[Category:Ortho]]
+
[[Category:Orthopedics]]

Latest 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

Specialty Care

  • Displaced fracture >1mm or diastasis >2mm require surgery

See Also

References