Based on the imaging performed and the improvement in patient symptoms and plain radiographs, there can be no conclusion made as to the exact cause of the trapezoid … Radiographic features An isolated trapezoid fracture is very rare, because of the anatomical shape and position of the trapezoid bone and the strong ligament attachments with adjacent bones. The low incidence of isolated trapezoid fractures stems from the relatively protected position of the trapezoid bone within the carpus, with both osseous and strong ligamentous Figure 1 Plain radiographs of the injured wrist. 10 Most of these fractures occur in association with additional carpal pathology, particularly scaphoid fractures; isolated fractures of the capitate make up only 0.3% of carpal injuries. You also have the option to opt-out of these cookies. Road accidents could also cause dislocation of carpal bones. Scaphoid Non-Union Fractures. Symptoms of a scaphoid fracture typically include pain and tenderness in the area just below the base of the thumb. Let’s build this page together! If there is sustained pain in the wrist and hand after punching, combined trapezoid and scaphoid fractures should be considered as the possible injury. Capitate fractures are classified by the anatomic location of the fracture, along with what other concomitant injuries may be present. How do people experience each condition differently, and why? Classification. Additionally, fractures of the trapezium will often occur in combination with thumb metacarpal or distal radius fractures. Read it on, The severity of Parkinson's Disease symptoms changes faster than researchers thought, so clinical trials should be designed differently. The combination of a capitate fracture and a scaphoid waist fractureis known as "scaphocapitate syndrome" . A trapezoid is constrained and received external force without being dispersed, so it is possible that the axial load to the second metacarpal bone by punching was transmitted to the scaphoid via the trapezoid, leading to the fractures. The Colles fracture is a specific type of wrist fracture where there is displacement of the bone such that the wrist joint dislocates behind its normal anatomic position. Fractures of the carpal bones involve only a single bone or complex bones with or without ligament rupture. All Rights Reserved. Sacral insufficiency fractures are a subtype of stress fractures, which are the result of normal stresses on abnormal bone, most frequently seen in the setting of osteoporosis. (See also Overview of Fractures .) A direct impact from a blunt, hard object on the back of the wrist could also cause this injury. Trapezoid Fracture Presentation and Examination. We report a case of an isolated, nondisplaced trapezoid fracture that was sustained by direct trauma and subsequently treated successfully in a short-arm cast. Carpal fracture (1) is a medical condition where a carpal bone gets fractured. Triquetral fractures may occur in isolation, with no other associated injuries. Trapezoid fractures occur when the second metacarpal butts up against it. After this period, the cast is removed and. Information on PatientsLikeMe.com is reported by our members and is not medical advice. The protected position of the trapezoid between the base of the second metacarpal, capitate, trapezium, and scaphoid and the strong ligamentous attachments provide much stability, limiting the likelihood of an isolated fracture. A Triquetral fracture is a break of the Triquetral bone (sometimes called triquetrum). Metacarpal fractures are often called boxer's fractures because they result from punching a hard object (such as a wall or another person's jaw). The trapezoid is in a relatively immobile, and protected location hence the rarity of an isolated fracture. Following are few of the fractures of the radius and ulnar bones. We describe a case of an isolated trapezoid fracture that was managed nonoperatively with a favorable clinical outcome. Methods: We reviewed all trapezoid fractures that presented over the past 10 years at our institution. Conclusion: Where there are ongoing symptoms and a high clinical suspicion of a triquetral fracture, CT may be indicated and, in future practice, may be justified as a first line imaging modality.
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