How do you treat a trapezium fracture?
Non-displaced trapezium and trapezoid fractures can be treated with a short arm thumb spica cast for 4 to 6 weeks. Treatment for a non-displaced isolated capitate fracture involves immobilization with a short arm thumb spica cast for 6 to 8 weeks.
What is the CPT code for carpal scaphoid fracture manipulation?
CPT® Code 25624 in section: Closed treatment of carpal scaphoid (navicular) fracture.
What is the CPT code for repair of nonunion of carpal bone?
25431
CPT code 25431 (Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation), each bone) states in its definition the instructions “includes obtaining graft and necessary fixation).
Can you break your trapezium?
The trapezium is rarely injured, representing about 4 percent of all carpal fractures [1-6]. When present, trapezium fractures often occur in association with other injuries, most commonly fracture of the first (thumb) metacarpal followed by other carpal bone injuries and the distal radius [7].
What is the trapezium bone?
The trapezium bone is one of eight small bones which make up the wrist joint. The trapezium is the last bone in the row of wrist bones, located beneath the thumb joint. The trapezium bone along with the base of the thumb joint forms what is called a carpometacarpal joint, also known as a CMC joint.
What does Trapeziectomy mean?
Trapeziectomy is a surgical procedure to treat a medical condition called “thumb base arthritis”. The procedure involves removal of a small, cube-shaped bone known as the “trapezium” at the base of the thumb joint which joins your thumb to your wrist.
Where is the trapezium bone?
wrist
The trapezium bone is one of eight small bones which make up the wrist joint. The trapezium is the last bone in the row of wrist bones, located beneath the thumb joint.
Is a trapezium fracture painful?
Trapezium fractures are rare. They account for ~3–5% of all carpal fractures [1, 2]. The carpometacarpal joint of the thumb plays a pivotal role in the function of the hand. An injury in this region causes pain and swelling at the base of the thumb, affecting prehension, opposition, circumduction and pinch strength.
How do you tell if your trapezium is broken?
Patients with trapezoid fractures complain of pain at the base of the second metacarpal. They may also complain of pain in the region of the snuffbox [5]. On physical exam, they can have wrist swelling and decreased range of motion of the wrist because of pain.
What inserts on the trapezium?
Attachments
- superficial head of flexor pollicis brevis arises from the tubercle distally.
- the opponens pollicis arises from the tubercle between flexor pollicis brevis and abductor pollicis brevis.
- the abductor pollicis brevis arises from the tubercle proximally.
