{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:37:52Z","timestamp":1768437472216,"version":"3.49.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T00:00:00Z","timestamp":1608595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction and importance<\/jats:title>\n Trapezium, as a carpal bone positioned at the distal row, is often associated with other wrist injuries such as distal radius fracture. Isolated trapezium fracture, especially in a comminuted form, rarely occurs. There are only six reports of isolated comminuted trapezium fractures in the literature to the best of our knowledge.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n We present a case with an isolated comminuted trapezium fracture presenting pain in his thenar eminence and thumb motion limitation. He was treated by Open Reduction and Internal Fixation (ORIF) with the K wire pin.<\/jats:p>\n <\/jats:sec>\n \n Clinical discussion<\/jats:title>\n We searched the published related studies and summarized the signs and symptoms of patients presented with trapezium fracture. The most common presentation of trapezial fracture include pain\/tenderness at the base of the first metacarpal bone, pain\/tenderness at the snuffbox area and 1st digit motion limitation. The treatment options described in the literature for isolated comminuted trapezium fracture are also presented. Open reduction and fixation with pin is the most common treatment mentioned in the literature. The priority is restoring the scaphotrapezial and trapeziometacarpal joint congruency to save the 1st digit range of motion.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Comminuted trapezial fracture may happen following either low energy (like our patient) or high energy trauma. This paper highlights the fact that even a comminuted trapezium fracture can be easily missed. Regardless of the trauma mechanism (high energy versus low energy trauma), a high index of suspicion and delicate work up would be necessary in order not to miss this type of fracture.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.12.072","type":"journal-article","created":{"date-parts":[[2020,12,24]],"date-time":"2020-12-24T22:55:03Z","timestamp":1608850503000},"page":"363-368","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Isolated comminuted trapezium fracture"],"prefix":"10.1097","volume":"78","author":[{"given":"Aidin","family":"Arabzadeh","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzad","family":"Vosoughi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-83-20260114","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1055\/s-0039-1683846","article-title":"The uncommon trapezium fracture: a case series","volume":"9","author":"Beekhuizen","year":"2020","journal-title":"J. Wrist Surg"},{"key":"R3-83-20260114","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1053\/jhsu.2002.33705","article-title":"Surgical treatment of intra-articular fractures of the trapezium","volume":"27","author":"McGuigan","year":"2002","journal-title":"J. Hand Surg"},{"key":"R6-83-20260114","first-page":"2408708","article-title":"Trapezium fracture associated with thumb carpometacarpal joint dislocation: a report of three cases and literature review","volume":"2018","author":"Kohyama","year":"2018","journal-title":"Case Rep. 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Case Rep"},{"key":"R10-83-20260114","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s10195-014-0288-9","article-title":"Carpometacarpal dislocation of the thumb associated with fracture of the trapezium","volume":"16","author":"Kose","year":"2015","journal-title":"J. Orthop. Traumatol"},{"key":"R11-83-20260114","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1097\/00005131-198802000-00006","article-title":"Fractures of the body of the trapezium","volume":"2","author":"Walker","year":"1988","journal-title":"J. Orthop. Trauma"},{"key":"R13-83-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1007\/s004020050225","article-title":"A new method for treating isolated fractures of the os trapezium","volume":"117","author":"Horch","year":"1998","journal-title":"Arch. Orthop. Trauma Surg"},{"key":"R14-83-20260114","doi-asserted-by":"crossref","first-page":"260","DOI":"10.2106\/00004623-197961020-00018","article-title":"Fractures at the base of the thumb: treatment with oblique traction","volume":"61","author":"Gelberman","year":"1979","journal-title":"J. Bone Joint Surg. Am"},{"key":"R15-83-20260114","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1055\/s-0038-1632406","article-title":"Comminuted fracture of the body of the Trapezium and thumb carpometacarpal dislocation: a particular pattern","volume":"4","author":"Alonso","year":"2018","journal-title":"Surg. J. (N. Y"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220312621?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220312621?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.12.072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:50:59Z","timestamp":1768398659000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.12.072"}},"subtitle":["A case report and literature review"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.12.072","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}