PDF icon Download PDF
Open Access
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2025; 53(01): e69-e72
DOI: 10.1055/s-0045-1809551
Relato de Caso | Case Report

Treatment of Trapezoid Non-Union by Fixation with Headless Cannulated Screw and Autologous Bone Graft: A Rare Condition

Article in several languages: español | English
Pablo Carnero Martín de Soto 
1   Unidad de Miembro Superior, Imatde Arthrosport, Málaga, España
,
Naiara Fernández de Arróyabe Sáez de Ojer
1   Unidad de Miembro Superior, Imatde Arthrosport, Málaga, España
,
Manuel Díaz Samada
2   Imatde Arthrosport, Málaga, España
› Author Affiliations
› Further Information
Also available ateRef
  Permissions and Reprints
Preview

Abstract

Trapezoid non-union is an exceptional disease that happens when a trapezoid fracture is not treated in an acute setting. We present a clinical case of this rare condition diagnosed 8 months after the trauma, a motorcycle accident. Diagnosis was first established by magnetic resonance imaging and confirmed by computed tomography. Surgical treatment was carried out, consisting of refreshing of the non-union focus by a dorsal approach, fixation by a headless compression cannulated screw and application of autologous bone graft from the metaphysis of the distal radius. Complete healing was observed at 6 months. At 1 year follow-up, the patient presented excellent results in terms of pain, range of motion, satisfaction, and complete return to daily-life activities.

Keywords

non-union - trapezoid - bone graft


Publication History

Received: 07 October 2024

Accepted: 24 March 2025

Article published online:
21 July 2025

© 2025. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil