Nondisplaced fracture of trapezium [larger multangular], right wrist, subsequent encounter for fracture with malunion Save

Nondisplaced Fracture of Trapezium [Larger Multangular], Right Wrist: Understanding Malunion

A nondisplaced fracture of the trapezium, also known as the larger multangular bone, in the right wrist can result in various complications. One such complication is a subsequent encounter for fracture with malunion. Malunion refers to the improper healing of the fractured bone, leading to misalignment or deformity.

When a nondisplaced fracture occurs, the bone cracks but remains in its original position. However, if the fracture heals incorrectly, the bone may not fuse back together properly, resulting in malunion. This can cause functional impairment, pain, and limited range of motion in the wrist.

Malunion can occur due to several reasons, including inadequate immobilization of the fracture, delayed diagnosis, or poor blood supply to the injured area. Factors such as age, overall health, and the severity of the fracture can also influence the likelihood of malunion.

Signs and symptoms

1. Persistent pain in the wrist.
2. Decreased grip strength.
3. Reduced range of motion.
4. Visible deformity or misalignment of the wrist.

Diagnosis and management

To diagnose malunion following a nondisplaced fracture of the trapezium, a thorough physical examination, medical history review, and imaging tests such as X-rays or CT scans may be necessary. These evaluations help determine the extent of the malunion and guide the subsequent management plan.

The management of malunion typically involves a multidisciplinary approach, involving orthopedic specialists, hand therapists, and other healthcare professionals. Treatment options may include:

1. Physical therapy to improve range of motion and strength.
2. Custom splints or orthotics to support the wrist and correct alignment.
3. Pain management techniques, such as medication or local injections.
4. Surgical intervention, if conservative methods fail or if the malunion significantly affects wrist function and quality of life.

Conclusion

A subsequent encounter for fracture with malunion can significantly impact a patient's wrist function and quality of life. Early diagnosis and appropriate management are crucial to optimize outcomes. If you suspect a malunion following a nondisplaced fracture of the trapezium in your right wrist, consult a healthcare professional for a comprehensive evaluation and individualized treatment plan.