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. 2007 Jun;2(2):48-50.
doi: 10.1007/s11552-007-9026-6. Epub 2007 Mar 23.

Management of combined open fractures of thumb metacarpal and trapezium (surgical tip)

Ozcan Pehlivan  1 , Feridun Cilli, Mahir Mahirogullari, Selahattin Ozyurek
Affiliations

Management of combined open fractures of thumb metacarpal and trapezium (surgical tip)

Ozcan Pehlivan et al. Hand (N Y). 2007 Jun.

Abstract

Management of an unusual injury of combined open fractures of the first metacarpal shaft and trapezium due to crush injury in a 21-year-old man was reported in this paper. Surgical management included irrigation, debridement, and reduction of the first metacarpal fracture followed by external fixation extending from the first metacarpal to the distal radius and primary wound closure. After 1 year of surgery, follow-up functional and radiographic evaluations were satisfactory, and most of the daily activities were pain-free.

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Figures

Figure 1
Figure 1
Radiograph showing thumb metacarpal shaft and trapezium factures. Note both fractures are comminuted with some degree of collapse of trapezium and marked displacement of the thumb metacarpal shaft fracture.
Figure 2
Figure 2
Radiograph showing fracture reduction of the thumb metacarpal shaft followed by stabilization of both bone fractures with a dorsally applied external fixator, with slight distraction (postoperative first day).
Figure 3
Figure 3
Photographs of the original open wound a after the fractured thumb metacarpal was reduced, b after the external fixator was applied and wound closure completed.
Figure 4
Figure 4
Radiograph at the last follow-up visit (postoperative 1 year) showed the evidence of union in good alignment and no sign of arthritic changes at the first carpometacarpal joint.
See this image and copyright information in PMC

References

    1. Amadio PC, Moran SL. Fractures of the carpal bones. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, editors. Green’s operative hand surgery, Vol.1. Philadelphia: Elsevier, Churchill Livingstone; 2005. p. 711–768.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0363-5023(98)80104-4', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0363-5023(98)80104-4'}, {'type': 'PubMed', 'value': '9523970', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9523970/'}]}
    2. Binhammer P, Born T. Coronal fracture of the body of the trapezium: a case report. J Hand Surg [Am] 1998;23-A:156–157. - PubMed
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/0266-7681(93)90164-B', 'is_inner': False, 'url': 'https://doi.org/10.1016/0266-7681(93)90164-b'}, {'type': 'PubMed', 'value': '8409673', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8409673/'}]}
    2. Garcia-Elias M, Henriquez-Lluch A, Rossignani P, Fernandez de Retana P, Orovio de Elizaga J. Bennett’s fracture combined with fracture of the trapezium. A report of three cases. J Hand Surg [Br] 1993;18-B:523–526. - PubMed
    1. Glickel SZ, Barron OA, Catalano LW. Dislocations and ligament injuries in the digits. In: Green DP, Hotchkiss RN, Pederson WC, Wolfe SW, editors. Green’s operative hand surgery, Vol.1. Philadelphia: Elsevier, Churchill Livingstone; 2005. p. 343–388.
    1. {'text': '', 'ref_index': 1, 'ids': [{'type': 'DOI', 'value': '10.1016/S0020-1383(97)00169-1', 'is_inner': False, 'url': 'https://doi.org/10.1016/s0020-1383(97)00169-1'}, {'type': 'PubMed', 'value': '9509093', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9509093/'}]}
    2. Inston N, Pimpalnerkar AL, Arafa MA. Isolated fracture of the trapezium: an easily missed injury. Injury 1997;28:485–488. - PubMed

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