Trapezoid fracture

Background
  • Extremely rare (<1% of all carpal fractures)
  • Occurs via axial load onto second (index) metacarpal

Clinical Features
  • Tenderness along radial aspect augmented by applying pressure along second metacarpal

Differential Diagnosis

Carpal fractures
AP view

Evaluation
  • Difficult to visualize on x-ray; CT or MRI may be necessary

Management

Disposition


See Also

References
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