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Musculoskeletal1 paper

Fracture of trapezium of wrist

Last edited: 4/10/2026

Overview

The trapezium is one of the carpal bones in the wrist. Fractures of the trapezium are uncommon and can occur in isolation or with associated injuries.

Diagnosis

  • Diagnosis is typically made with plain radiographs 1.
  • CT scan may be useful for complex fractures or suspected dislocations 1.

    • Management

  • Treatment options include conservative management (casting) or surgical intervention 1.
  • Surgical treatment may involve open reduction and internal fixation (e.g., Kirschner wire) for dislocations or unstable fractures 1.

    • Special Populations

  • No specific information is available for special populations in the provided abstracts.

    • Key Recommendations

  • Open reduction and Kirschner wire fixation can provide an excellent clinical result with early return to full function for complete trapezium dislocation 1. (Evidence: Weak)

    • References

    1 Brewood AF. Complete dislocation of the trapezium: a case report. Injury 1985. link90129-9)

    Original source

    1. [1]
      Complete dislocation of the trapezium: a case report. — Brewood AF Injury (1985)
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