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Trapezoid Fracture
From WikiSM
Contents
Other Names
- N/A
Background
Pathophysiology
- Typical mechanism is high energy direct trauma with forced flexion-extension or axial load through metacarpal[2]
- Isolated fractures are rare
- Often co-occur with:
Risk Factors
- Unknown
Differential Diagnosis
Carpal Bone Fractures
- Scaphoid Fracture
- Lunate Fracture
- Triquetrum Fracture
- Pisiform Fracture
- Trapezium Fracture
- Trapezoid Fracture
- Capitate Fracture
- Hamate Fracture
Differential Diagnosis Wrist Pain
- Fractures
- Dislocations
- Instability & Degenerative
- Tendinopathies & Ligaments
- Neuropathies
- Pediatric Considerations
- Distal Radial Epiphysitis (Gymnast's Wrist)
- Torus Fracture
- Arthropathies
- Cartilage
- Vascular
- Other
Clinical Features
- General: Physical Exam Wrist
- Poorly localized ain at anatomic snuff box
Evaluation
Radiographs
- Standard Radiographs Wrist
- 3 view initially
- Overlap of metacarpal and trapezoid may be noted
CT
- Better delineate injury pattern
MRI
- Useful for occult injuries, soft tissue
Classification
- N/A
Management
Nonoperative
- Indications
- Nondisplaced fractures
- Cast: Short Arm Cast
Operative
- Indications
- Displaced
- Articular incongruity
- Techniques
- ORIF
- K-wires
- Arthrodesis
Return to Play
- Physician discretion depending on surgical management
- Minimum 4-6 weeks
Complications
- Nonunion
- Malunion
- Carpometacarpal Arthritis
See Also
- Internal
- External
- Sports Medicine Review Wrist Pain: https://www.sportsmedreview.com/by-joint/wrist/