Isolated trapezoid fracture

Case contributed by Levente István Lánczi
Diagnosis almost certain

Presentation

Wrist was hit by a ball during play on the previous day.

Patient Data

Age: 35 years
Gender: Male
x-ray

A longitudinal transparent line is clearly visible through the trapezoid bone indicating a trapezoid fracture without dislocation.

Four-view wrist X-ray

x-ray

Four-view wrist X-ray is a first line imaging tool in the suspicion of carpal bone injury.

Case Discussion

Fractures of the trapezoid are one of the most uncommon among the carpal bones (less than 1%).

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