Difference between revisions of "Trapezium fracture"

(Source)
(Imaging)
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==Imaging==
 
==Imaging==
 
*Best seen on 20-degree pronated oblique view
 
*Best seen on 20-degree pronated oblique view
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 +
==Differential Diagnosis==
 +
{{Carpal fractures}}
  
 
==Management==
 
==Management==

Revision as of 22:39, 17 November 2014

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

Imaging

  • Best seen on 20-degree pronated oblique view

Differential Diagnosis

Carpal fractures

AP view

Management

  • Short arm thumb spica splint
  • Displaced fx >1mm or diastasis >2mm require surgery

Images

Trapezium Fracture.jpg

See Also

Wrist Fracture

Source

  • Tintinalli