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Fracture of trapezium with trapeziometacarpal subluxation

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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.

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References

  1. Binhammer P, Born T (1998) Coronal fracture of the body of the trapezium: a case report. J Hand Surg [Am] 23:156–157

    Article  CAS  Google Scholar 

  2. Cordrey LJ, Ferrer-Torells M (1960) Management of fractures of the greater multangular. Report of five cases. J Bone Joint Surg [Am] 42:1111–1118

    Google Scholar 

  3. Denjean S, Gaillard T, Fessy MH (1994) Traumatismes fermés de l’articulation trapézo-métacarpienne. In: Comtet JJ (ed) Traumatismes ostéo-articulaires fermés des doigts. Cahiers d’enseignement de la SOFCOT No. 47. Expansion Scientifique Française, Paris, pp 42–49

    Google Scholar 

  4. Duteille F, Aubrion JL, Dautel G, Merle M (2001) Fracture comminutive du trapèze traitée par ligamentotaxis. A propos d’un cas. Rev Chir Orthop 87:173–175

    PubMed  CAS  Google Scholar 

  5. Foster RJ, Hastings H (1987) Treatment of Bennett, Rolando and vertical intraarticular trapezial fractures. Clin Orthop 214:121–129

    PubMed  Google Scholar 

  6. Freeland AE, Finley JS (1984) Displaced vertical fracture of the trapezium treated with a small cancellous lag screw. J Hand Surg [Am] 9:843–845

    CAS  Google Scholar 

  7. Gedda KO, Möberg E (1953) Open reduction and osteosynthesis of the so-called Bennett’s fracture in the carpometacarpal joint of the thumb. Acta Orthop Scand 22:249–257

    PubMed  CAS  Google Scholar 

  8. Iselin M, Blanguernon S, Benoist D (1956) Fractures de la base du premier métacarpien. Mém Acad Chir 82:771–774

    PubMed  CAS  Google Scholar 

  9. Jones JA, Pellegrini VD (1989) Transverse fracture-dislocation of the trapezium. J Hand Surg [Am] 14:481–485

    Article  CAS  Google Scholar 

  10. Kapandji IA, Raab C (1980) La radiographie spécifique de la trapézo-métacarpienne: sa technique, son intérêt. Ann Chir 34:719–726

    PubMed  CAS  Google Scholar 

  11. Kukreti S, Harrington P (2004) Carpometacarpal joint dislocation of the thumb associated with fracture of the trapezium: a case report. Eur J Orthop Surg Traumatol 14:38–39

    Article  Google Scholar 

  12. McClain EJ, Boyes JH (1966) Missed fractures of the Greater Multangular. J Bone Joint Surg [Am] 48:1525–1528

    CAS  Google Scholar 

  13. Mody BS, Dias JJ (1993) Carpometacarpal dislocation of the thumb associated with fracture of the trapezium. J Hand Surg [Br] 18:197–199

    CAS  Google Scholar 

  14. Oberlin C (2000) Luxations trapézo-métacarpiennes. In: Oberlin C (ed) Manuel de chirurgie du membre supérieur. Elsevier, Paris, pp 114–117

    Google Scholar 

  15. Seitz WH, Papandrea RF (2001) Fractures and dislocations of the wrist. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD (eds) Rockwood and Green’s fractures in adults, 5th edn. Lippincott, Philadelphia, pp 749–813

    Google Scholar 

  16. Shirazi KK, Agha FP, Amendola MA (1982) Case reports. Isolated fracture of the greater multangular. Br J Radiol 55:923

    Article  PubMed  CAS  Google Scholar 

  17. Strauch RJ, Behrman MJ, Rosenwasser MP (1994) Acute dislocation of the carpometacarpal joint of the thumb: an anatomic and cadaver study. J Hand Surg [Am] 19:93–98

    Article  CAS  Google Scholar 

  18. Thoren L (1956) A new method of extension treatment in Bennett’s fracture. Acta Chir Scand 110:485–493

    PubMed  CAS  Google Scholar 

  19. Tolat AR, Jones MW (1990) Carpometacarpal dislocation of the thumb associated with fracture of trapezium. Injury 21:411–412

    Article  PubMed  CAS  Google Scholar 

  20. Van Schil P, De Smet C (1986) Simultaneous fracture of the carpal scaphoid and trapezium. J Hand Surg [Br] 11:112–114

    Google Scholar 

  21. Wagner CJ (1950) Method of treatment of Bennett’s fracture dislocation. Am J Surg 80:230–232

    Article  PubMed  CAS  Google Scholar 

  22. Wiggins HE, Bundens WD, Park BJ (1954) A method of treatment of fracture dislocation of the first metacarpal bone. J Bone Joint Surg [Am] 36:810–819

    Google Scholar 

  23. Wilson JN (1954) Profiles of the carpal canal. J Bone Joint Surg [Am] 36:127–132

    Google Scholar 

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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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Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Sahel General Hospital, University Medical Centre, PO Box 99/25, Ghoubeiry, Beirut, Lebanon

    Ali Chamseddine, Hadi Zein & Bilal Obeid

  2. Department of Orthopaedic and Trauma Surgery, Saad Specialist Hospital, Al-Khobar, Kingdom of Saudi Arabia

    Houssam Hamdan & Ibrahim Tabsh

Authors
  1. Ali Chamseddine
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  2. Houssam Hamdan
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  3. Hadi Zein
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  4. Bilal Obeid
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  5. Ibrahim Tabsh
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Correspondence to Ali Chamseddine.

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Chamseddine, A., Hamdan, H., Zein, H. et al. Fracture of trapezium with trapeziometacarpal subluxation. Eur J Orthop Surg Traumatol 19, 499–503 (2009). https://doi.org/10.1007/s00590-009-0463-5

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  • DOI: https://doi.org/10.1007/s00590-009-0463-5

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