Official Journal of the Italian Society of Orthopaedics and Traumatology
From: Carpometacarpal dislocation of the thumb associated with fracture of the trapezium
References | Sex | Age (years) | Mechanism of injury | Trapezium fracture classification | Treatment | Follow-up (months) | Result |
---|---|---|---|---|---|---|---|
Tolat and Jones [7] | Male | 14 | Fall onto an outstretched hand (skateboard) | IIa | Closed reduction splinting 6Â weeks | 2 | Excellent without instability, full ROM |
Mody and Dias [14] | Male | 24 | Motorbike accident | IIa | Open reduction and K-wire fixation; ligament reconstruction | 6 | Excellent |
Kukreti and Harrington [13] | Not reported | 26 | Sport injury (rugby tackling) | IIa | Closed reduction and K-wire fixation | 12 | Slight pain, minimal loss of CMC flexion of CMC |
Garavaglia et al. [11] | Female | 20 | Fall while holding the handle of a bucket | IIa | Open reduction and screw fixation | 12 | Excellent |
Garneti and Tuson [9] | Male | 24 | Sport injury (rugby tackling) | IV | Open reduction and internal fixation with a minifragment 2.7-mm lag compression screw | 12 | Excellent |
Male | 18 | Sport injury (rugby) | IV | Open reduction and internal fixation with a single 2.7-mm lag screw | 9 | Excellent | |
Afshar and Mirzatoloei [6] | Male | 30 | Motorbike accident | IIa | Closed reduction and K-wire fixation | Not reported | No pain and instability, full ROM |
Parker et al. [10] | Male | 12 | Fall onto an outstretched hand (rollerblade) | IIa | Closed reduction, spanning external fixation | 36 | Excellent |
Morizaki and Miura [15] | Male | 31 | Fall onto flexed thumb | IIa | Open reduction and internal fixation using suture anchor and K-wire fixation | 12 | Excellent |
Chamseddine et al. [5] | Male | 23 | Road accident | IV | Open reduction and K-wire fixation | 9 | Excellent |
Ramoutar et al. [12] | Male | 27 | Fall onto an outstretched hand (football) | IIa | Closed reduction and K-wire fixation | 6 | Excellent |
Mumtaz and Drabu [8] | Male | 14 | Direct trauma due to hammer hit (open injury) | IV | Irrigation, debridement, and K-wire fixation | 12 | Gross impairment in opposition and abduction |
This case | Male | 32 | Motorbike accident | IIa | Closed reduction and splinting for 6Â weeks | 6 | Excellent |