Arthroscopically Assisted Treatment of Isolated Comminuted Trapezium Fracture: A Report of Two Cases.

Autor: Ohno K; Department of Orthopedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, Hyogo, Japan., Omokawa S; Department of Hand Surgery, Nara Medical University, Kashihara, Nara, Japan., Kawamura K; Department of Orthopedic Surgery, Nara Medical University, Kashihara, Nara, Japan.
Jazyk: angličtina
Zdroj: JBJS case connector [JBJS Case Connect] 2024 May 03; Vol. 14 (2). Date of Electronic Publication: 2024 May 03 (Print Publication: 2024).
DOI: e24.00029
Abstrakt: Cases: Two competitive athletes with isolated comminuted trapezium fractures, sustained during American football and rugby, presented with pain and swelling of the first metacarpal base. Computed tomography confirmed isolated comminuted trapezium fractures. Arthroscopic reduction of displacement with screw fixation below the articular surface was performed through a small incision. Both patients returned to their preinjury sports levels within 2 months postoperatively.
Conclusion: Arthroscopic treatment of isolated comminuted trapezium fractures achieved accurate reduction of articular surface displacement and preserved trapeziometacarpal joint stability with minimal soft-tissue invasion. This facilitated an early return to contact sports for the affected athletes.
Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C340).
(Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze: MEDLINE