Trapezium secondarium

The trapezium secondarium (or trapezium secundarium or secondary trapezium) is an accessory ossicle of the wrist. It can be seen adjacent to the tubercle of the trapezium superomedially 1,2.


According to Pfitzner, the trapezium secondarium is one of four potential secondary ossification centres lying around the primary ossification centre of the trapezium that may remain as separated bones 4. The other sites include the epitrapezium adjacent to the scaphoid, the paratrapezium most lateral and the praetrapezium lying on the palmar surface of the trapezium 4.

Radiographic features

It may be visualised sitting between the 1st and 2nd bases of each respective metacarpal bone on lateral and oblique hand radiographs 3.

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Article information

rID: 54800
Section: Anatomy
Synonyms or Alternate Spellings:
  • Trapezium secundarium
  • Secondary trapezium

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Cases and figures

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    Secondary trapezium
    Fig 1
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