The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
Treatment of Fractures of the Trapezium: Fracture Dislocation of the Carpometacarpal Joint
Seigo YAMAKAWATakashi YAMANEMitsuru KAJITANIToshihiko SHAKUNAGANobuo KAI
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1993 Volume 5 Issue 2 Pages 263-267

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Abstract
Fracture of the Trapezium is relatively rare. It is reported to account for 3.5-5% of all fractures of the carpal bones. We have experienced to treat 5 cases of fracture dislocation of the carpometacarpal joint, accompanied with vertical type fracture of the trapezium. The treatment was open reduction and Kirschner wire fixation in every case.
Clinical results in 3 cases of the trapezium fracture alone were exellent. However, the result of two elderly women with trapezium fracture accompanied by Bennett's fracture dislocation were unsatisfactory, because they had pain, restricted range of motion and arthritic changes on X-ray films.
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