Trapezium fracture: Difference between revisions
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Revision as of 22:39, 17 November 2014
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
Differential Diagnosis
Management
- Short arm thumb spica splint
- Displaced fx >1mm or diastasis >2mm require surgery
Images
See Also
Source
- Tintinalli