Trapezium fracture

Case contributed by Mostafa Elfeky
Diagnosis almost certain


Slipped down on outstretched right hand.

Patient Data

Age: 17 years
Gender: Male

Right wrist


Fracture of upper pole of trapezium adjacent to the base of second metacarpal bone, seen in oblique view.

Right wrist


Undisplaced fracture of the trapezium, involving the superior dorsal part, that projects between the first and second metacarpals.

Case Discussion

This is an isolated fracture of the trapezium bone which is a less common carpal bone fracture. It can be easily missed on plain radiograph.

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