Diferencia entre revisiones de «Trapezium fracture»
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==Disposition== | ==Disposition== | ||
*Discharge with close hand/ortho follow up | |||
==See Also== | ==See Also== | ||
Revisión del 16:40 17 sep 2019
Background
- Occurs via direct blow to thumb or dorsiflexion and radial deviation force
- Major complication is nonunion
Clinical Features
- Painful thumb movement
- Weak pinch
- TTP at apex of anatomic snuffbox, base of thenar eminence
Differential Diagnosis
Carpal fractures
- Scaphoid fracture
- Lunate fracture
- Triquetrum fracture
- Pisiform fracture
- Trapezium fracture
- Trapezoid fracture
- Capitate fracture
- Hamate fracture
Evaluation
- Hand x-ray (best seen on 20-degree pronated oblique view)
Management
- Short arm thumb spica splint
- Displaced fracture >1mm or diastasis >2mm require surgery
Disposition
- Discharge with close hand/ortho follow up