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Research Article| Volume 13, ISSUE 4, P622-626, July 1988

Fracture of the dorsoulnar tubercle of the trapezium

  • Anthony C. Griffin
    Affiliations
    From the Department of Radiology, Mallinckrodt Institute of Radiology; Department of Surgery; Division of Plastic Surgery, and Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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  • Louis A. Gilula
    Correspondence
    Reprint requests: Louis A. Gilula, MD, Mallinckrodt Institute of Radiology, 510 S. Kingshighway Blvd., St. Louis, MO 63110.
    Affiliations
    From the Department of Radiology, Mallinckrodt Institute of Radiology; Department of Surgery; Division of Plastic Surgery, and Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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  • V. Leroy Young
    Affiliations
    From the Department of Radiology, Mallinckrodt Institute of Radiology; Department of Surgery; Division of Plastic Surgery, and Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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  • William B. Strecker
    Affiliations
    From the Department of Radiology, Mallinckrodt Institute of Radiology; Department of Surgery; Division of Plastic Surgery, and Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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  • Paul M. Weeks
    Affiliations
    From the Department of Radiology, Mallinckrodt Institute of Radiology; Department of Surgery; Division of Plastic Surgery, and Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Mo., USA
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      This paper is only available as a PDF. To read, Please Download here.
      The dorsoulnar tubercle of the trapezium may fracture, and this fracture may be missed without precise physical examination and correct radiographic studies. If there is persistent localized pain and tenderness in this region and the results of routine wrist radiographic examination are normal, a bone scan should be performed. If there is localized uptake in the area of the trapezium, additional radiographic studies may be necessary to confirm or exclude this fracture. Four patients with this previously unreported fracture and a method for its detection are presented.
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