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Updated: Sep 22, 2025

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
An Unusual Appearance of Base of First Metacarpal Fracture: A Case Report
Sebastian Kosasih1, Andreas Georgiou1, Norbert V Kang1
1Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London, GBR.
Abstract:
We present the case of an unusual base of the first metacarpal fracture. The presentation and radiological images are provided to demonstrate a first metacarpal base fracture but with a concurrent appearance at first glance of a trapeziectomy mimic on plain radiographs. The CT scan however demonstrates the true nature of the injury - a comminuted fracture with carpometacarpal subluxation. The radiological and clinical findings presented a diagnostic and therapeutic dilemma. We elected to not intervene surgically with a good resulting clinical outcome, reminding us of the need to treat the patient and not their radiographic images.
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