Cargando…

Open complete dislocation of trapezium with a vertically split fracture: a case report

Open complete dislocation of the trapezium is an extraordinarily rare injury with only a few cases reported so far in literature. The association of a vertically split fracture makes this injury even rare and hence worth reporting. A 14 year old Kashmiri boy presented to us with a history of massive...

Descripción completa

Detalles Bibliográficos
Autores principales: Mumtaz, Mohammad Umar, Drabu, Najeeb Ahmad
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803889/
https://www.ncbi.nlm.nih.gov/pubmed/20062729
http://dx.doi.org/10.1186/1757-1626-2-9092
_version_ 1782176095901057024
author Mumtaz, Mohammad Umar
Drabu, Najeeb Ahmad
author_facet Mumtaz, Mohammad Umar
Drabu, Najeeb Ahmad
author_sort Mumtaz, Mohammad Umar
collection PubMed
description Open complete dislocation of the trapezium is an extraordinarily rare injury with only a few cases reported so far in literature. The association of a vertically split fracture makes this injury even rare and hence worth reporting. A 14 year old Kashmiri boy presented to us with a history of massive trauma to the non dominant left hand sustained as a result of a blow from a heavy hammer. The thenar area was burst out and the trapezium was vertically split apart into two halves which were dislocated from the articular surfaces of the scaphoid as well as the first metacarpal. The mechanism of injury as in other such reported cases was a massive direct force localized over the carpal bone which causes its enucleation and fracture. Although some authors have recommended excision of the dislocated trapezium, open reduction of the fracture dislocation and fixation with K wires was carried out under General anesthesia. At the end of one year although there was some functional deficit in the affected thumb, especially in opposition, the patient was quite satisfied with the outcome as this was the non dominant hand.
format Text
id pubmed-2803889
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-28038892010-01-10 Open complete dislocation of trapezium with a vertically split fracture: a case report Mumtaz, Mohammad Umar Drabu, Najeeb Ahmad Cases J Case Report Open complete dislocation of the trapezium is an extraordinarily rare injury with only a few cases reported so far in literature. The association of a vertically split fracture makes this injury even rare and hence worth reporting. A 14 year old Kashmiri boy presented to us with a history of massive trauma to the non dominant left hand sustained as a result of a blow from a heavy hammer. The thenar area was burst out and the trapezium was vertically split apart into two halves which were dislocated from the articular surfaces of the scaphoid as well as the first metacarpal. The mechanism of injury as in other such reported cases was a massive direct force localized over the carpal bone which causes its enucleation and fracture. Although some authors have recommended excision of the dislocated trapezium, open reduction of the fracture dislocation and fixation with K wires was carried out under General anesthesia. At the end of one year although there was some functional deficit in the affected thumb, especially in opposition, the patient was quite satisfied with the outcome as this was the non dominant hand. BioMed Central 2009-11-26 /pmc/articles/PMC2803889/ /pubmed/20062729 http://dx.doi.org/10.1186/1757-1626-2-9092 Text en Copyright ©2009 Mumtaz and Drabu; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mumtaz, Mohammad Umar
Drabu, Najeeb Ahmad
Open complete dislocation of trapezium with a vertically split fracture: a case report
title Open complete dislocation of trapezium with a vertically split fracture: a case report
title_full Open complete dislocation of trapezium with a vertically split fracture: a case report
title_fullStr Open complete dislocation of trapezium with a vertically split fracture: a case report
title_full_unstemmed Open complete dislocation of trapezium with a vertically split fracture: a case report
title_short Open complete dislocation of trapezium with a vertically split fracture: a case report
title_sort open complete dislocation of trapezium with a vertically split fracture: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2803889/
https://www.ncbi.nlm.nih.gov/pubmed/20062729
http://dx.doi.org/10.1186/1757-1626-2-9092
work_keys_str_mv AT mumtazmohammadumar opencompletedislocationoftrapeziumwithaverticallysplitfractureacasereport
AT drabunajeebahmad opencompletedislocationoftrapeziumwithaverticallysplitfractureacasereport