Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review

Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been...

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Main Authors: Sho Kohyama, Toshikazu Tanaka, Akira Ikumi, Yasukazu Totoki, Kosuke Okuno, Naoyuki Ochiai
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/2408708
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author Sho Kohyama
Toshikazu Tanaka
Akira Ikumi
Yasukazu Totoki
Kosuke Okuno
Naoyuki Ochiai
author_facet Sho Kohyama
Toshikazu Tanaka
Akira Ikumi
Yasukazu Totoki
Kosuke Okuno
Naoyuki Ochiai
author_sort Sho Kohyama
collection DOAJ
description Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation.
format Article
id doaj-art-52a426eb6fe7463bbb5be9597bb95327
institution Kabale University
issn 2090-6749
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language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-52a426eb6fe7463bbb5be9597bb953272025-02-03T01:26:47ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/24087082408708Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature ReviewSho Kohyama0Toshikazu Tanaka1Akira Ikumi2Yasukazu Totoki3Kosuke Okuno4Naoyuki Ochiai5Department of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanDepartment of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanDepartment of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanDepartment of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanDepartment of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanDepartment of Orthopedic Surgery, Kikkoman General Hospital, Noda, JapanIsolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation.http://dx.doi.org/10.1155/2018/2408708
spellingShingle Sho Kohyama
Toshikazu Tanaka
Akira Ikumi
Yasukazu Totoki
Kosuke Okuno
Naoyuki Ochiai
Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
Case Reports in Orthopedics
title Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_full Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_fullStr Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_full_unstemmed Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_short Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review
title_sort trapezium fracture associated with thumb carpometacarpal joint dislocation a report of three cases and literature review
url http://dx.doi.org/10.1155/2018/2408708
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