Difference between revisions of "Trapezium fracture"

(Imaging)
(Management)
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==Management==
 
==Management==
*Short arm thumb spica splint
+
*Short arm [[thumb spica splint]]
 
*Displaced fx >1mm or diastasis >2mm require surgery
 
*Displaced fx >1mm or diastasis >2mm require surgery
  

Revision as of 12:12, 18 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
Trapezium fracture

Differential Diagnosis

Carpal fractures

AP view

Management

See Also

Source

  • Tintinalli