Difference between revisions of "Trapezium fracture"

(Text replacement - "==Source==" to "==References== <references/>")
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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 fracture >1mm or diastasis >2mm require surgery
  
 
==See Also==
 
==See Also==

Revision as of 05:04, 3 July 2016

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

References