Difference between revisions of "Trapezium fracture"

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*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


  • 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


  • Best seen on 20-degree pronated oblique view
Trapezium fracture

Differential Diagnosis

Carpal fractures

AP view


See Also


  • Tintinalli