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To preserve surrounding structures, the trapezium bone is removed "by splitting" it into pieces. An empty gap is left by the trapeziectomy and the wound is closed with sutures. Despite this gap, no significant changes in function of the thumb are reported. [27] After the surgery, the thumb will be immobilized with a cast.
The neck of a metacarpal is a common location for a boxer's fracture, but all parts of the metacarpal bone (including head, body and base) are susceptible to fracture. During their lifetime, 2.5% of individuals will experience at least one metacarpal fracture. Bennett's fracture (base of the thumb) is the most common. [4]
The Bennett fracture is an oblique intraarticular metacarpal fracture dislocation, caused by an axial force directed against the partially flexed metacarpal. This type of compression along the metacarpal bone is often sustained when a person punches a hard object, such as the skull or tibia of an opponent, or a wall. It can also occur as a ...
The trapezium is an irregular-shaped carpal bone found within the hand. The trapezium is found within the distal row of carpal bones, and is directly adjacent to the metacarpal bone of the thumb. On its ulnar surface are found the trapezoid and scaphoid bones. [1]: 708
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position. Orthopedic surgery attempts to recreate the normal anatomy of the fractured bone by reduction of the displacement.
Wrist osteoarthritis is gradual loss of articular cartilage and hypertrophic bone changes (osteophytes). While in many joints this is part of normal aging (senescence), in the wrist osteoarthritis usually occurs over years to decades after scapholunate interosseous ligament rupture or an unhealed fracture of the scaphoid.
The carpometacarpal joint of the thumb (pollex), also known as the first carpometacarpal joint, or the trapeziometacarpal joint (TMC) because it connects the trapezium to the first metacarpal bone, plays an irreplaceable role in the normal functioning of the thumb. The most important joint connecting the wrist to the metacarpus, osteoarthritis ...
Isolated fractures of the trapezoid are rare, representing 0.4% of the total, thus being the least common of all carpal fractures. This is due to the bone being in a fairly protected position. Distally, it forms a stable, relatively immobile joint with the second metacarpal, radially and proximally it forms strong ligaments with the trapezium ...