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Case Reports in Orthopedics
Volume 2018, Article ID 2408708, 9 pages
https://doi.org/10.1155/2018/2408708
Case Report

Trapezium Fracture Associated with Thumb Carpometacarpal Joint Dislocation: A Report of Three Cases and Literature Review

Department of Orthopedic Surgery, Kikkoman General Hospital, Noda, Japan

Correspondence should be addressed to Toshikazu Tanaka; moc.nsm@1401akanat

Received 4 September 2017; Accepted 22 January 2018; Published 21 February 2018

Academic Editor: Athanassios Papanikolaou

Copyright © 2018 Sho Kohyama et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Isolated trapezium fracture in combination with thumb carpometacarpal (CMC) joint dislocation is extremely rare, and no treatment consensus exists. Herein, we report 3 successfully treated cases of isolated trapezium fracture with thumb CMC joint dislocation. While good short-term results have been reported in the literature, the possibility of substantial ligament injuries that can lead to future instability of the thumb CMC joint must be noted. In order to obtain an excellent long-term clinical result, we propose the consideration of the anatomical repair of the CMC joint in terms of both bony and ligamentous structures in cases where instability remains after fracture fixation.