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Fracture of trapezium with trapeziometacarpal subluxation

  • Ali ChamseddineEmail author
  • Houssam Hamdan
  • Hadi Zein
  • Bilal Obeid
  • Ibrahim Tabsh
Case Report

Abstract

Fractures of trapezium are reportedly rare, less than 5% of all carpal bones fractures. A vertical sagittal fracture type is encountered in about 20% of cases. This fracture type is unstable and is usually displaced like a Bennett’s fracture. Open reduction and internal fixation is admitted to be the best method of treatment, but it has always been augmented with a postoperative cast immobilization to temporary stabilize the trapeziometacarpal joint. We describe a case of displaced vertical sagittal fracture of the trapezium with trapeziometacarpal subluxation treated by open reduction and internal fixation of the trapezial fracture, associated with temporary stabilization of the trapeziometacarpal joint using two percutaneous intermetacarpal Kirschner wires.

Keywords

Trapeziometacarpal joint Trapezium Fracture Dislocation 

Notes

Conflict of interest statement

No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Ali Chamseddine
    • 1
    Email author
  • Houssam Hamdan
    • 2
  • Hadi Zein
    • 1
  • Bilal Obeid
    • 1
  • Ibrahim Tabsh
    • 2
  1. 1.Department of Orthopaedic and Trauma SurgerySahel General Hospital, University Medical CentreBeirutLebanon
  2. 2.Department of Orthopaedic and Trauma SurgerySaad Specialist HospitalAl-KhobarKingdom of Saudi Arabia

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