Rare Isolated Trapezium Fracture: Clinical Case Presentation
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173 |
Resumo: | Abstract Isolated trapezium fractures are rare, accounting for 0.4% of the hand injuries. As these injuries are often imperceptible on plain radiographs, diagnosis in the Emergency Department setting is challenging. Computed tomography scan can be helpful in the diagnosis. The gold standard treatment for trapezium fractures is still debatable. A 54 years-old male patient presented to an Emergency Department following a motorcycle accident. He reported pain and swelling on the radial half of his left non-dominant hand. Radiographs were inconclusive. Computed tomography scan and magnetic resonance imaging revealed an isolated trapezium fracture with a non-displaced small volar fragment. To our best knowledge, this fracture pattern has not been reported before. Conservative treatment resulted in union with excellent thumb function and no complications. This case highlights the importance of a high clinical suspicion, careful history taking, physical examination, and imaging interpretation to avoid missing a trapezium fracture. |
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Rare Isolated Trapezium Fracture: Clinical Case PresentationFractures, Bone/diagnosisTrapezium Bone/injuriesAbstract Isolated trapezium fractures are rare, accounting for 0.4% of the hand injuries. As these injuries are often imperceptible on plain radiographs, diagnosis in the Emergency Department setting is challenging. Computed tomography scan can be helpful in the diagnosis. The gold standard treatment for trapezium fractures is still debatable. A 54 years-old male patient presented to an Emergency Department following a motorcycle accident. He reported pain and swelling on the radial half of his left non-dominant hand. Radiographs were inconclusive. Computed tomography scan and magnetic resonance imaging revealed an isolated trapezium fracture with a non-displaced small volar fragment. To our best knowledge, this fracture pattern has not been reported before. Conservative treatment resulted in union with excellent thumb function and no complications. This case highlights the importance of a high clinical suspicion, careful history taking, physical examination, and imaging interpretation to avoid missing a trapezium fracture.Círculo Médico2022-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173Gazeta Médica v.9 n.2 2022reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173Branco,Pedro MartinsBaptista,CarolinaMendes,Danielinfo:eu-repo/semantics/openAccess2024-02-06T17:32:16Zoai:scielo:S2184-06282022000200173Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:05.343047Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
title |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
spellingShingle |
Rare Isolated Trapezium Fracture: Clinical Case Presentation Branco,Pedro Martins Fractures, Bone/diagnosis Trapezium Bone/injuries |
title_short |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
title_full |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
title_fullStr |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
title_full_unstemmed |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
title_sort |
Rare Isolated Trapezium Fracture: Clinical Case Presentation |
author |
Branco,Pedro Martins |
author_facet |
Branco,Pedro Martins Baptista,Carolina Mendes,Daniel |
author_role |
author |
author2 |
Baptista,Carolina Mendes,Daniel |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Branco,Pedro Martins Baptista,Carolina Mendes,Daniel |
dc.subject.por.fl_str_mv |
Fractures, Bone/diagnosis Trapezium Bone/injuries |
topic |
Fractures, Bone/diagnosis Trapezium Bone/injuries |
description |
Abstract Isolated trapezium fractures are rare, accounting for 0.4% of the hand injuries. As these injuries are often imperceptible on plain radiographs, diagnosis in the Emergency Department setting is challenging. Computed tomography scan can be helpful in the diagnosis. The gold standard treatment for trapezium fractures is still debatable. A 54 years-old male patient presented to an Emergency Department following a motorcycle accident. He reported pain and swelling on the radial half of his left non-dominant hand. Radiographs were inconclusive. Computed tomography scan and magnetic resonance imaging revealed an isolated trapezium fracture with a non-displaced small volar fragment. To our best knowledge, this fracture pattern has not been reported before. Conservative treatment resulted in union with excellent thumb function and no complications. This case highlights the importance of a high clinical suspicion, careful history taking, physical examination, and imaging interpretation to avoid missing a trapezium fracture. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282022000200173 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Círculo Médico |
publisher.none.fl_str_mv |
Círculo Médico |
dc.source.none.fl_str_mv |
Gazeta Médica v.9 n.2 2022 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799137405600530432 |