[Comminutive fracture of the trapezium treated by ligamentotaxis. A case report].
We report a case of trapezium fracture treated by continuous traction. The fracture involved the trapezium alone and was associated with scapho-trapezium subluxation. Three percutaneously inserted pins were used for traction, one scapho-capitate pin and two pins in the first and second metacarpal bones. This allowed distraction of the entire first row. Good anatomic reconstruction of the trapezium was evidenced radiographically. The functional outcome was quite satisfactory with mobility strictly the same as the healthy side and complete pain relief.
Duteille
F
F
Service de Chirurgie Plastique Reconstructrice de l'Appareil Locomoteur, Hôpital Jeanne-d'Arc, Dommartin-les-Toul, CHU Nancy.
Aubrion
J L
JL
Dautel
G
G
Merle
M
M
D000062:Accidents, Occupational; D000328:Adult; D001858:Bone Nails; D002348:Carpal Bones / Q000293:injuries*; D018460:Fractures, Comminuted / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008023:Ligaments, Articular; D008297:Male; D010146:Pain / Q000209:etiology / Q000517:prevention & control; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D014143:Traction / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*