Franke Jacob D, Lucchesi Beatrice L, Moore Reece A, Markel Justin, Franke Katlyn, Fahrenkopf Matthew
Division of Plastic Surgery, Michigan State University, Corewell Health, 275 Michigan Street NE, Grand Rapids, MI, 49503, USA.
Michigan State University College of Human Medicine, 15 Michigan St NE, Grand Rapids, MI, 49503, USA.
JPRAS Open. 2025 Jul 11;45:436-442. doi: 10.1016/j.jpra.2025.07.003. eCollection 2025 Sep.
Fractures of the trapezium occur infrequently, accounting for only 3.5 % of all carpal fractures. Trapezium fractures with concomitant Bennett's fracture-dislocations are exceedingly rare without a consensus on treatment recommendations. Here, we present a case of a simultaneous Bennett's fracture with a trapezium fracture in a pediatric patient. Our patient was treated with open reduction and internal fixation. Clinically, the patient was pain free with range of motion comparable to his uninjured side and without joint instability. A review of the literature reveals only twelve other cases reported in adult patients all of which were male with an average age of twenty-eight at the time of injury. Open reduction is the most popular treatment approach, but closed reduction can also be utilized with success in these injuries. While there is a large degree of heterogeneity of outcome reporting methodology, most patients have satisfactory outcomes and return to function comparable to their contralateral side.
大多角骨骨折很少见，仅占所有腕骨骨折的3.5%。伴有贝内特骨折脱位的大多角骨骨折极为罕见，目前对于治疗建议尚无共识。在此，我们报告1例小儿患者同时发生贝内特骨折和大多角骨骨折的病例。我们的患者接受了切开复位内固定治疗。临床上，患者无痛，活动范围与未受伤侧相当，且无关节不稳。文献回顾显示，成年患者中仅另有12例报告，所有患者均为男性，受伤时平均年龄为28岁。切开复位是最常用的治疗方法，但闭合复位在这些损伤中也可成功应用。虽然结果报告方法存在很大程度的异质性，但大多数患者预后满意，功能恢复与对侧相当。
