Trapezium fracture

Revision as of 14:51, 26 June 2016 by Neil.m.young (talk | contribs) (Text replacement - "*Tintinalli" to "")

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