Trapeziectomy with suture-button suspensionplasty is a surgical treatment option for
thumb carpometacarpal osteoarthritis refractory to nonsurgical management. We describe
the cases of 3 patients who presented with index metacarpal fracture, in the absence
of traumatic injury, over 4 months after trapeziectomy with suture-button suspensionplasty.
All 3 fractures demonstrated the same pattern: short oblique/spiral, oriented proximal
radial to distal ulnar with the distal end in the vicinity of the index metacarpal
button, presumably after the orientation of the metacarpal drill hole. Two of the
fractures were treated with surgical fixation. Fracture healing was obtained in all
cases. Two of the 3 patients remained symptomatic with thumb pain, but decided against
revision treatment for the carpometacarpal osteoarthritis. The third underwent restabilization
of the suture button at the time of fracture fixation. Although uncommon, index metacarpal
fracture after trapeziectomy with suture-button suspensionplasty can present without
trauma several months after surgery.
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Article info
Publication history
Published online: May 24, 2018
Accepted:
April 6,
2018
Received:
February 26,
2018
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2019 by the American Society for Surgery of the Hand. All rights reserved.
