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Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature

INTRODUCTION: Isolated trapezium fractures accounts for 3-5% of all carpal fractures, are often missed on initial presentation. Trapezial fractures should be treated early given its importance in grip and pinch. We report a rare isolated coronal fracture of trapezium, following fall on an outstretch...

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Autores principales: Panigrahi, Ranajit, Biswal, Manas Ranjan, Palo, Nishit, Panigrahi, Naresh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719393/
https://www.ncbi.nlm.nih.gov/pubmed/27299062
http://dx.doi.org/10.13107/jocr.2250-0685.300
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author Panigrahi, Ranajit
Biswal, Manas Ranjan
Palo, Nishit
Panigrahi, Naresh
author_facet Panigrahi, Ranajit
Biswal, Manas Ranjan
Palo, Nishit
Panigrahi, Naresh
author_sort Panigrahi, Ranajit
collection PubMed
description INTRODUCTION: Isolated trapezium fractures accounts for 3-5% of all carpal fractures, are often missed on initial presentation. Trapezial fractures should be treated early given its importance in grip and pinch. We report a rare isolated coronal fracture of trapezium, following fall on an outstretched hand. CASE REPORT: A 40-year-old right lady presented with pain in right hand due to fall on out stretched hand. The radial half of wrist and lower forearm were swollen. Tenderness over trapezium and 1st metacarpal base with terminal thumb movements restricted. X-Ray revealed undisplaced incomplete coronal fracture of the trapezium. CT scan confirmed coronal split fracture of the trapezium with a major volar fragment and a dorsal fragment without articular involvement. The patient refused operative intervention. Fracture was treated conservatively. The follow-up radiographs showed normal articular relationship of the trapezium with the base of first metacarpal and scaphoid. The fracture healed with no complications. CONCLUSION: Carpal fracture diagnosis requires high clinical suspicion. X-Rays and CT scans define pattern orientation and understanding.
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spelling pubmed-47193932016-06-13 Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature Panigrahi, Ranajit Biswal, Manas Ranjan Palo, Nishit Panigrahi, Naresh J Orthop Case Rep Case Report INTRODUCTION: Isolated trapezium fractures accounts for 3-5% of all carpal fractures, are often missed on initial presentation. Trapezial fractures should be treated early given its importance in grip and pinch. We report a rare isolated coronal fracture of trapezium, following fall on an outstretched hand. CASE REPORT: A 40-year-old right lady presented with pain in right hand due to fall on out stretched hand. The radial half of wrist and lower forearm were swollen. Tenderness over trapezium and 1st metacarpal base with terminal thumb movements restricted. X-Ray revealed undisplaced incomplete coronal fracture of the trapezium. CT scan confirmed coronal split fracture of the trapezium with a major volar fragment and a dorsal fragment without articular involvement. The patient refused operative intervention. Fracture was treated conservatively. The follow-up radiographs showed normal articular relationship of the trapezium with the base of first metacarpal and scaphoid. The fracture healed with no complications. CONCLUSION: Carpal fracture diagnosis requires high clinical suspicion. X-Rays and CT scans define pattern orientation and understanding. Indian Orthopaedic Research Group 2015 /pmc/articles/PMC4719393/ /pubmed/27299062 http://dx.doi.org/10.13107/jocr.2250-0685.300 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Panigrahi, Ranajit
Biswal, Manas Ranjan
Palo, Nishit
Panigrahi, Naresh
Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title_full Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title_fullStr Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title_full_unstemmed Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title_short Isolated Coronal Fracture of Trapezium- A Case Report with Review of Literature
title_sort isolated coronal fracture of trapezium- a case report with review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719393/
https://www.ncbi.nlm.nih.gov/pubmed/27299062
http://dx.doi.org/10.13107/jocr.2250-0685.300
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