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Diagnosis and Management of Persistent Trapezoid Dislocation Following Surgical Treatment of Second through Fifth
Michael Flood1, Gregory Iovanel1, Muntazim Mukit1
1Department of Orthopaedic Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
Abstract:
This case report highlights a persistent palmar trapezoid dislocation requiring return to the operating room following closed reduction and percutaneous pinning of second through fifth carpometacarpal joint fracture dislocations in the setting of ipsilateral distal radius fracture and distal radioulnar joint injury. The dislocation was identified on postoperative computed tomography imaging and required open reduction via dorsal approach. We offer this report to improve recognition of this rare presentation and to emphasize the importance of careful evaluation of intraoperative and postoperative imaging.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
