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      Comminuted Fracture of the Body of the Trapezium and Thumb Carpometacarpal Dislocation: A Particular Pattern

      case-report
      Author(s): , MD 1 , , MD, PhD, FEBOT 1
      Publication date (Electronic):
      Journal: The Surgery Journal
      Publisher: Thieme Medical Publishers
      Keywords: trapezium, carpometacarpal, joint dislocation, fracture

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          Abstract

          Trapezium fractures are uncommon injuries. Our case is that of a thumb carpometacarpal joint dislocation associated to a partly comminuted fracture of the body of the trapezium. To the best of the authors' knowledge, this particular variation has not been previously reported in the indexed literature.

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          Fractures of the body of the trapezium.

          David Walker, Bryan Greene, P Lunseth (1987)
          Fractures of the body of the trapezium are uncommon. Ten such cases are reported. They may be associated with other carpal or metacarpal fractures and may require special radiographic views for diagnosis. There does not appear to be a consistent mechanism of injury. A classification system is proposed based on the five fracture configurations identified. Open reduction with internal fixation of the displaced articular surface is preferred.
          Article 0 comments Cited 13 times – based on 0 reviews     Review now
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            Carpometacarpal dislocation of the thumb associated with fracture of the trapezium.

            Hannah M Jones, A R Tolat (1990)
            Article 0 comments Cited 6 times – based on 0 reviews     Review now
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              Sagittally split fracture of trapezium associated with subluxated carpo-metacarpal joint of thumb.

              N Garneti, C Tuson (2004)
              Trapezial fractures are uncommon, and require careful clinical and radiological assessment and treatment. Poor or inadequate treatment of displaced fractures of trapezium can lead to long-term morbidity. We report two displaced fractures of the trapezium. The clinical and radiological features are discussed. Both fractures were treated operatively and a good functional outcome was achieved.
              Article 0 comments Cited 6 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Surg J (N Y)
                Journal ID (iso-abbrev): Surg J (N Y)
                Journal ID (doi): 10.1055/s-00028781
                Title: The Surgery Journal
                Publisher: Thieme Medical Publishers (333 Seventh Avenue, New York, NY 10001, USA. )
                ISSN (Print): 2378-5128
                ISSN (Electronic): 2378-5136
                Publication date Collection: January 2018
                Publication date (Electronic): 09 March 2018
                Volume: 4
                Issue: 1
                Pages: e34-e36
                Affiliations
                [1 ]Hand Surgery Unit, Orthopedics Department. Hospital Marques de Valdecilla, Santander, Spain
                Author notes
                Address for correspondence Laura Alonso, MD Servicio de Traumatología, Hospital Universitario Marques de Valdecilla Av. de Valdecilla, s/n, 39008 Santander, CantabriaSpain alonsovianalaura@ 123456gmail.com
                Article
                Publisher ID: 1700046cr
                DOI: 10.1055/s-0038-1632406
                PMC ID: 5844770
                SO-VID: 525a77e8-ebb2-4fa0-befc-3ce831bed3cb
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 07 October 2017
                Date accepted : 16 January 2018
                Categories
                Subject: Case Report

                Keywords: trapezium,carpometacarpal,joint dislocation,fracture
                Data availability:
                Keywords: trapezium, carpometacarpal, joint dislocation, fracture

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