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Trapezoid Fracture

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Other Names

  • N/A

Background

  • Trapezoid fractures are the least common carpal fracture [1]
  • Little data to guide management

Pathophysiology


Risk Factors

  • Unknown

Differential Diagnosis

Carpal Bone Fractures

Differential Diagnosis Wrist Pain


Clinical Features


Evaluation

Radiographs

CT

  • Better delineate injury pattern

MRI

  • Useful for occult injuries, soft tissue

Classification

  • N/A

Management

Nonoperative

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


References

  1. Putnam MDM, Meyer NJ. Carpal Fractures Excluding the Scaphoid. Rosemont, IL: American Society for Surgery of the Hand; 2003.
  2. Ting MH, Tompson JD, Ek ET. Isolated dislocation of the trapezoid. Hand Surg. 2012;17(3):391e393.
Created by:
John Kiel on 18 June 2019 22:56:32
Authors:
Last edited:
13 October 2022 21:43:08
Categories:
Trauma | Osteology | Wrist | Upper Extremity | Fractures | Acute