Case Reports in Orthopedics

Case Report

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

Table 1

Case reportSexAge (year)Mechanism of injuryTrapezium fracture classificationTreatmentFollow-up (months)Result
Ramoutar et al. [3]M27Football (fell onto out-stretched hand)IIaClosed reduction and K-wire fixation6Excellent
Kose et al. [4]M32Motorbike accidentIIaClosed reduction and splinting for 6 weeks6Excellent
Tolat and Jones [5]M14Skateboard (fell onto out-stretched hand)IIaClosed reduction and splinting for 6 weeks2Excellent
Kukreti and Harrington [6]NA26RugbyIIaClosed reduction and K-wire fixation12Slight pain, minimal loss of CMC flexion
Afshar and Mirzatoloei[7]M30Motorbike accidentIIaClosed reduction and K-wire fixationNAExcellent
Mody and Dias [8]M24Motorbike accidentIIaOpen reduction and K-wire fixation, ligament reconstruction6Excellent
Chamseddine et al. [9]M23Road accidentIVOpen reduction and K-wire fixation6Excellent
Mumtaz and Drabu [10]M14Hammer hitIVK-wire fixation12Gross impairment in opposition and abduction
Garavaglia et al. [11]F20Fell while holding the handle of a bucketIIaOpen reduction and screw fixation12Excellent
Garneti and Tuson [12]M24RugbyIVOpen reduction and internal fixation12Excellent
M18RugbyIVOpen reduction and internal fixation9Excellent
Morizaki and Miura [13]M31Fell onto flexed thumbIIaOpen reduction and internal fixation12Excellent
Parker et al. [14]M12Rollerblade (fell onto out-stretched hand)IIaClosed reduction and external fixation36Excellent
Roger et al. [15]M25RugbyIVOpen reduction, internal fixation and ligament reconstruction16Excellent, but reduced pinch strength
Current case 1F20KarateIVOpen reduction and internal fixation24Excellent, but with a zigzag deformity
Current case 2M17RugbyIVOpen reduction and internal fixation12Excellent
Current case 3M17RugbyIVClosed reduction and internal fixation6Excellent
CMC: carpometacarpal; NA: not available.