Fracture of the trapezoid bone: An unusual fracture

• Main Authors: Prashant K Gupta, Kumkum Gupta, Iti Vashisth, Nikhil Rathi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2015-01-01
• Series: Journal of Orthopaedics and Allied Sciences
• Subjects: Bone; computerized tomography; fracture; magnetic resonance imaging; trapezoid
• Online Access: http://www.joas.in/article.asp?issn=2319-2585;year=2015;volume=3;issue=1;spage=28;epage=30;aulast=Gupta

Isolated fracture of the trapezoid bone is due to axial loading on the outstretched palm and extended wrist, transmitted through the second metacarpal bone. Traumatic lesions of trapezoid bone are rare because of its well-protected position in the wrist and hence missed in the past. The modern diagnostic modalities have made its diagnosis more frequent. The ability of wrist to place the hand in 3-dimensional space is essential for normal daily function of the upper extremity. Some wrist injuries remain a diagnostic enigma, while others remain frustrating to treat either conservatively or with operative intervention. Isolated fractures of the trapezoid bone are rarely reported in the literature. We report a case of an isolated, non-displaced trapezoid bone fracture, which sustained injury by direct trauma and treated conservatively by a cast with return of normal functions.