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Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review

Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been...

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Autores principales: Kohyama, Sho, Tanaka, Toshikazu, Ikumi, Akira, Totoki, Yasukazu, Okuno, Kosuke, Ochiai, Naoyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841103/
https://www.ncbi.nlm.nih.gov/pubmed/29682377
http://dx.doi.org/10.1155/2018/2408708
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author Kohyama, Sho
Tanaka, Toshikazu
Ikumi, Akira
Totoki, Yasukazu
Okuno, Kosuke
Ochiai, Naoyuki
author_facet Kohyama, Sho
Tanaka, Toshikazu
Ikumi, Akira
Totoki, Yasukazu
Okuno, Kosuke
Ochiai, Naoyuki
author_sort Kohyama, Sho
collection PubMed
description Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation.
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spelling pubmed-58411032018-04-21 Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review Kohyama, Sho Tanaka, Toshikazu Ikumi, Akira Totoki, Yasukazu Okuno, Kosuke Ochiai, Naoyuki Case Rep Orthop Case Report Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation. Hindawi 2018-02-21 /pmc/articles/PMC5841103/ /pubmed/29682377 http://dx.doi.org/10.1155/2018/2408708 Text en Copyright © 2018 Sho Kohyama et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kohyama, Sho
Tanaka, Toshikazu
Ikumi, Akira
Totoki, Yasukazu
Okuno, Kosuke
Ochiai, Naoyuki
Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_full Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_fullStr Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_full_unstemmed Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_short Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_sort trapezium fracture associated with thumb carpometacarpal joint dislocation: a report of three cases and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841103/
https://www.ncbi.nlm.nih.gov/pubmed/29682377
http://dx.doi.org/10.1155/2018/2408708
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