Volar ridge fracture of the trapezium

Case contributed by Dr Roberto Schubert


Fall on the outstretched hand.

Patient Data

Age: 65
Gender: Male

Hyperintense marrow signal on STIR and hypointense signal on T1 in the volar aspect of the trapezium. On the transverse gradient echo sequences, a small cortical defect at the base of the trapezial ridge can be seen. There is also hyperintense signal at the insertion of the FCR tendon, that may have been partially torn.

Case Discussion

There are 2 types of trapezial ridge fractures: at the base (as shown here) and at the tip (insertion of the retinaculum).

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Case information

rID: 16799
Published: 21st Feb 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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