Difference between revisions of "Trapezium fracture"

(Created page with "==Background== *Occurs via direct blow to thumb or dorsiflexion and radial deviation force *Major complication is nonunion ==Clinical Features== *Painful thumb movement *Weak pi...")
 
(Disposition)
 
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*TTP at apex of anatomic snuffbox, base of thenar eminence
 
*TTP at apex of anatomic snuffbox, base of thenar eminence
  
==Imaging==
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==Differential Diagnosis==
*Best seen on 20-degree pronated oblique view
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{{Carpal fractures}}
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==Evaluation==
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*Hand x-ray (best seen on 20-degree pronated oblique view)
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[[File:Trapezium_Fracture.jpg|thumb|Trapezium fracture]]
  
 
==Management==
 
==Management==
*Short arm thumb spica splint
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{{General Fracture Management}}
*Displaced fx >1mm or diastasis >2mm require surgery
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===Immobilization===
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*Short arm [[thumb spica splint]]
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==Disposition==
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*Discharge with close hand/ortho follow up
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===Specialty Care===
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*Displaced fracture >1mm or diastasis >2mm require surgery
  
==Images==
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==See Also==
[[File:Trapezium_Fracture.jpg]]
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*[[Carpal fractures]]
  
==Source==
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==References==
*Tintinalli
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<references/>
  
[[Category:Ortho]]
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[[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