Andreas Jokuszies1*, von Falck2, Tobias Roland Mett1 and Peter Maria Vogt1
1Department of Plastic, Aesthetic, Hand- and Reconstructive Surgery, Hannover Medical School, Germany
2Department of Diagnostic and Interventional Radiology, Hannover Medical School, Germany
Trapezial ridge fractures are rare and should be considered if pain and/or swelling of the thenar prominence and pinch weakness persist after hand trauma, especially when anteroposterior and lateral radiographs are inconspicuous. This case report describes the detection and treatment of a trapezial ridge fracture in a 52-year-old patient who suffered a fall on his outstretched hand and presented with load dependent and persistent pain of the thenar region. After diagnosis of this rare fracture type by CT-Scan and immobilization for 12 weeks fracture healing occurred and the patient was pain free in the end. Trapezial ridge fractures should be diagnosed early after trauma to avoid long-term complications as pseudarthrosis, chronic pain and impairment of pinch and grasp.
Jokuszies A, von Falck C, Tobias Roland Mett, Maria Vogt P. Trapezial Ridge Fracture – Rare But Beware!. Clin Surg. 2020; 5: 2892.