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Failure of this procedure leads to bipartite sesamoid bones 4. The most frequent mechanism of injury is a violent hyperextension of the pollex 2, 6, 7. A fracture may be caused also by a violent abduction of the thumb 6 and less frequently from direct trauma 3. In our case the injury was the result of a violent abduction of the pollex.
The pooled rates of the sensitive meta-analyses from large-sample studies in adults showed: (a) true overall rates of 99.9% for the metacarpophalangeal (MCP) joint of the thumb (MCP-I), 53% for...
Two additional closed fractures of the thumb sesamoid were treated by splinting the metacarpophalangeal joint in comfortable flexion for 2 to 3 weeks. Normal hand function was restored in all the three patients.
Six fractures were treated with splint or cast immobilization for 2 to 3 weeks, and two were taped. Clinical followup of the seven patients with isolated sesamoid fracture at 6 to 8 weeks revealed pain-free normal function.
2 Οκτ 2014 · Anteroposterior and lateral radiographs may help in identifying fractures, but an oblique view of the thumb is best for diagnosing a sesamoid fracture. 4,11 Treatment of fracture of the sesamoid bone of the thumb is usually 2–4 weeks of immobilization with the MCP joint in slight flexion. 4.
1 Ιουλ 2007 · Results. Follow up of the patient six weeks and six months after the injury, demonstrated a total recovery of the function of the pollex and callousness of the fracture, respectively. Conclusion. Fracture of sesamoid bones of the thumb is a rare injury, not usually diagnosed, but it has good prognosis when treated properly. Free full text.
Fracture of the hand sesamoid bones has been usually reported in the thumb. We report a case of fifth-digit sesamoid fracture, treated conservatively. In 6 months of followup, the patient had a full range of motion without pain. Keywords: Hand, hyperextension, sesamoid fracture, trauma.