Association of Acute Trapeziometacarpal Joint Dislocation and Trapezium Fracture in a 14-Year-Old Boy: A Case Report

Hand (N Y). 2023 Jan;18(1):NP10-NP14. doi: 10.1177/15589447221092121. Epub 2022 Jun 1.

Abstract

Fracture-dislocation of the trapeziometacarpal (TM) joint in adolescent patients is a rare injury, with only 3 cases reported in literature to our knowledge. Its low incidence, together with the complexity of the anatomy and biomechanics of TM joint, may represent a challenge for surgeons in choosing the best treating option. Here, we report a case of a TM fracture dislocation in a 14-year-old boy treated with percutaneous Kirschner wire pinning. The results we obtained endorsed our choice in patients for whom closed reduction is achievable.

Keywords: TM joint dislocation; pediatric population; thumb CMC dislocation; trapezium fracture; young adolescents.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Wires
  • Fracture Dislocation* / diagnostic imaging
  • Fracture Dislocation* / surgery
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Hand Injuries*
  • Humans
  • Joint Dislocations* / diagnostic imaging
  • Joint Dislocations* / surgery
  • Male
  • Wrist Injuries*