Isolated trapezium fracture about a case and review of the literature

Abstract

Isolated fractures of the trapeziums’ are rare; they represent 3 to 5% of fractures of the carpal bones and can go unnoticed. They are often associated with other fractures of the hand and wrist, in particular the Bennett fracture, the mechanism remains poorly known, and the diagnosis can be difficult. The purpose of our work was to emphasize the importance of the clinical examination which must be thorough and specific radiological implications. Computed tomography (CT) should be performed at the slightest doubt. Poorly treated, these fractures can be the cause of painful sequelae in the trapezo-metacarpal joint type of disabling rhizarthrosis. Reporting to us the case of a 23-year-old young patient with an isolated fracture of the trapezius displaced from his right wrist, surgically treated The fracture consolidated without complications, after six weeks and the patient returned to work after three months and did not present pain with the mobilization of the thumb, nor loss of strength. Conclusion: The isolated trapezoid fracture is very rare in traumatology. Its suspicion must lead to more advanced para-clinical investigations because neglected, it can be the cause of painful sequelae at the level of the trapezo-metacarpal joint with an important maintenance on daily activity