Trapezoid Stress Fracture in an International Shot-Putter: A Case Report

摘要

Trapezoid fractures are relatively rare upper limb fractures. The case report of a trapezoid stress fracture in the dominant hand of a 22 year old international standard shot-putter is presented.Key points class="unordered" style="list-style-type:disc">This is the first documented case report of a trapezoid stress fracture.Plain x-rays can be negative in stress fractures and therefore a high index of suspicion warrants further investigation with a CT scan and/or MRI of the relevant area.Non-displaced trapezoid fractures can be treated with immobilisation whereas displaced fractures will require surgical intervention. class="kwd-title">Key words: Trapezoid, stress fracture class="head no_bottom_margin" id="sec1-1title">Case reportA 22 year old international shot-putter initially presented to the sports medicine clinic in December, 2009 complaining of 1-2 year history of steadily increasing right hand first and second proximal metacarpal pain with no history of trauma. The pain appeared to be particularly provoked on right first and second metacarpal extension and abduction. On examination there was no obvious swelling or deformity and no anatomical snuffbox tenderness. There was however bony tenderness on deep palpation of the proximal first and second metacarpals. Hand and wrist x-rays and bed-side ultrasound imaging were initially negative. The hand x-rays are included in .Right hand x-rays.