Abstract
Trapezium fractures are rare injuries which should not be missed. We report a case of a 27-year-old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons. Satisfactory functional outcome was achieved at final follow-up.
Highlights
Isolated fracture of the trapezium is an uncommon injury accounting for only 3-5% of all carpal fractures [1]
We report a case of a 27-year-old right hand dominant man who sustained a closed vertical trapezium fracture and first carpometacarpal joint dislocation which was treated with closed reduction and percutaneous Kirschner-wire fixation, a technique familiar to all orthopaedic surgeons
We report a case of a fracture of the trapezium with associated dislocation of the first carpometacarpal joint which was treated with closed manipulation under anaesthesia and percutaneous Kirschner-wire insertion with good functional outcome at 6 months follow-up
Summary
Isolated fracture of the trapezium is an uncommon injury accounting for only 3-5% of all carpal fractures [1]. We report a case of a fracture of the trapezium with associated dislocation of the first carpometacarpal joint which was treated with closed manipulation under anaesthesia and percutaneous Kirschner-wire insertion with good functional outcome at 6 months follow-up. On review in the fracture clinic 2 days later it was decided that given the articular involvement associated with the injury, better anatomical reduction and stabilisation would be required He was listed for surgical treatment which occurred 4 days post the initial date of his injury. Though we did not formally score his function, he reported satisfactory return to all his normal activities of daily living including writing, dressing and lifting He had satisfactory grip strength and good range of movement of the thumb with minimal pain
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