{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T17:48:36Z","timestamp":1789235316546,"version":"build-2803163510"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Isolated, highly comminuted trapezium fractures are extremely rare. While they can be initially diagnosed with plain radiographs, a computed tomography scan of the wrist will more clearly reveal the fracture details and aid in appropriate preoperative planning. Restoration of the fracture with a congruent reduction of the adjacent joints is mandatory for a favorable prognosis.<\/jats:p><jats:p>A case of a highly comminuted, biarticular, trapezium fracture in a young male patient that was treated operatively with open reduction and internal fixation (ORIF) with a cannulated miniscrew and an additional Kirschner wire (K-wire) is presented. Restoration of a decent intra-articular congruity of the trapezium with both the base of the first metacarpal distally and the scaphoid bone proximally ensured a favorable outcome.<\/jats:p><jats:p>Various operative techniques are presented in current literature, encompassing ORIF with screws and K-wires, closed reduction and percutaneous fixation with K-wires, mini-external fixation, button fixation, and arthroscopically assisted percutaneous fixation. A favorable prognosis is documented in cases where a congruous reduction of the fracture was achieved and maintained throughout the healing period.<\/jats:p><jats:p>We feel that a formal ORIF is the procedure of choice for highly comminuted trapezium fractures, as they are not easily amenable to accurate reduction by means of closed methods.<\/jats:p>","DOI":"10.1055\/s-0044-1788639","type":"journal-article","created":{"date-parts":[[2024,7,18]],"date-time":"2024-07-18T19:07:20Z","timestamp":1721329640000},"page":"461-470","source":"Crossref","is-referenced-by-count":1,"title":["Operative Treatment of an Isolated, Comminuted, Biarticular Trapezium Fracture: A Case Report and Review of the Literature"],"prefix":"10.1055","volume":"14","author":[{"given":"Sandie","family":"Eiras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, University of Nicosia Medical School, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregorios","family":"Bolgouras","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Limassol General Hospital, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Panayiotou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Limassol General Hospital, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zacharias","family":"Alexandrou","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Limassol General Hospital, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6858-8195","authenticated-orcid":false,"given":"Costas","family":"Papakostidis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, Limassol General Hospital, Limassol, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,7,18]]},"reference":[{"issue":"15","key":"ref1","doi-asserted-by":"crossref","first-page":"e651","DOI":"10.5435\/JAAOS-D-20-00062","article-title":"Evaluation and management of carpal fractures other than the scaphoid","volume":"28","author":"L W Catalano III","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"issue":"01","key":"ref2","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":"S R Beekhuizen","year":"2020","journal-title":"J Wrist Surg"},{"issue":"04","key":"ref3","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":"F X McGuigan","year":"2002","journal-title":"J Hand Surg Am"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"8304","DOI":"10.4076\/1757-1626-2-8304","article-title":"Trapezium fracture - a common technique to fix a rare injury: a case report","volume":"2","author":"D N Ramoutar","year":"2009","journal-title":"Cases J"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/S0363-5023(81)80132-3","article-title":"Trapezial ridge fractures","volume":"6","author":"A K Palmer","year":"1981","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"99","DOI":"10.4103\/0019-5413.91643","article-title":"Isolated coronal split fracture of the trapezium","volume":"46","author":"S Suresh","year":"2012","journal-title":"Indian J Orthop"},{"issue":"01","key":"ref7","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":"L Alonso","year":"2018","journal-title":"Surg J (NY)"},{"issue":"03","key":"ref8","first-page":"00356","article-title":"Open reduction and fixation of trapezium fracture","volume":"9","author":"I L Martins","year":"2017","journal-title":"Case Report. 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