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Traumatic Isolated Trapezium Dislocation without Fracture: A Case Report and Review of the Literature.

Kenyon RM, Kelly EG, Padinjarathala B - Case Rep Orthop (2016)

Bottom Line: There are sixteen cases to date reported in the literature.The management of these cases has varied from complete excision to open or closed reduction, with or without percutaneous wiring.This paper presents a case of an isolated dislocation of the trapezium without fracture, managed with closed reduction and percutaneous wiring, resulting in a good functional outcome.

View Article: PubMed Central - PubMed

Affiliation: Trauma and Orthopaedics Department, University Hospital Waterford, Waterford, Ireland.

ABSTRACT
Isolated dislocation of the trapezium is an uncommon injury. There are sixteen cases to date reported in the literature. The management of these cases has varied from complete excision to open or closed reduction, with or without percutaneous wiring. This paper presents a case of an isolated dislocation of the trapezium without fracture, managed with closed reduction and percutaneous wiring, resulting in a good functional outcome.

No MeSH data available.


Related in: MedlinePlus

Radiographs at 3 months.
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fig4: Radiographs at 3 months.

Mentions: The patient remained in cast for a total of six weeks at which point the percutaneous wires were removed in the outpatient department and the hand and wrist were mobilized (Figure 3). He was referred to the local hand therapy service. Follow-up examination at three months revealed excellent range of motion (wrist flexion 60°, wrist extension 30°, pronation 80°, supination 80°, and radial abduction at base of thumb 60°). He had returned to full manual work activities at 8 weeks postoperatively and was no longer requiring analgesia (Figure 4).


Traumatic Isolated Trapezium Dislocation without Fracture: A Case Report and Review of the Literature.

Kenyon RM, Kelly EG, Padinjarathala B - Case Rep Orthop (2016)

Radiographs at 3 months.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4821964&req=5

fig4: Radiographs at 3 months.
Mentions: The patient remained in cast for a total of six weeks at which point the percutaneous wires were removed in the outpatient department and the hand and wrist were mobilized (Figure 3). He was referred to the local hand therapy service. Follow-up examination at three months revealed excellent range of motion (wrist flexion 60°, wrist extension 30°, pronation 80°, supination 80°, and radial abduction at base of thumb 60°). He had returned to full manual work activities at 8 weeks postoperatively and was no longer requiring analgesia (Figure 4).

Bottom Line: There are sixteen cases to date reported in the literature.The management of these cases has varied from complete excision to open or closed reduction, with or without percutaneous wiring.This paper presents a case of an isolated dislocation of the trapezium without fracture, managed with closed reduction and percutaneous wiring, resulting in a good functional outcome.

View Article: PubMed Central - PubMed

Affiliation: Trauma and Orthopaedics Department, University Hospital Waterford, Waterford, Ireland.

ABSTRACT
Isolated dislocation of the trapezium is an uncommon injury. There are sixteen cases to date reported in the literature. The management of these cases has varied from complete excision to open or closed reduction, with or without percutaneous wiring. This paper presents a case of an isolated dislocation of the trapezium without fracture, managed with closed reduction and percutaneous wiring, resulting in a good functional outcome.

No MeSH data available.


Related in: MedlinePlus