Bennett Dislocation Fracture Combined With a Trapezium Fracture and Advantages of Iselin K-Wire Fixation: A Case Report

The combination of a trapezium fracture and a Bennett fracture-dislocation is rare in hand trauma, posing both diagnostic and therapeutic challenges. Anatomical reduction and stabilization of the thumb metacarpophalangeal (MCP) joint, along with optimal management, are key to achieving a good outcome. We present the case of a 20-year-old motorcyclist with this lesion, treated with closed reduction using the Iselin K-wire fixation. Clinical and radiological results were satisfactory at six months follow-up. This case highlights the importance of imaging to detect combined lesions and emphasizes the role of minimally invasive fixation techniques for good results.

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Publication Details

Journal
Cureus
Published
2025-05-29
DOI
https://doi.org/10.7759/cureus.85039
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

Bennett Dislocation Fracture Combined With a Trapezium Fracture and Advantages of Iselin K-Wire Fixation: A Case Report

Mouncef Amahtil, Amine Hamzaoui, Mohammed Sadougui, Khalil Ouda et al.
Cureus
Orthopedic Surgery and Rehabilitation
article

Bennett Dislocation Fracture Combined With a Trapezium Fracture and Advantages of Iselin K-Wire Fixation: A Case Report

Mouncef Amahtil, Amine Hamzaoui, Mohammed Sadougui, Khalil Ouda, A. Daoudi
article en

Abstract

The combination of a trapezium fracture and a Bennett fracture-dislocation is rare in hand trauma, posing both diagnostic and therapeutic challenges. Anatomical reduction and stabilization of the thumb metacarpophalangeal (MCP) joint, along with optimal management, are key to achieving a good outcome. We present the case of a 20-year-old motorcyclist with this lesion, treated with closed reduction using the Iselin K-wire fixation. Clinical and radiological results were satisfactory at six months follow-up. This case highlights the importance of imaging to detect combined lesions and emphasizes the role of minimally invasive fixation techniques for good results.

CureusVol. 17(5)
Centre Hospitalier Universitaire Mohammed VI (MA)
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Openalex Percentile: Top 79%
Orthopedic Surgery and Rehabilitation
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Bennett Dislocation Fracture Combined With a Trapezium Fracture and Advantages of Iselin K-Wire Fixation: A Case Report — Mouncef Amahtil, Amine Hamzaoui, et al. · Cureus (2025) | TGRS Research Map | TGRS