<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282022000200173</article-id>
<article-id pub-id-type="doi">10.29315/gm.v9i2.550</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Rare Isolated Trapezium Fracture: Clinical Case Presentation]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fratura Rara Isolada do Trapézio: Apresentação de Caso Clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Branco]]></surname>
<given-names><![CDATA[Pedro Martins]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Baptista]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital CUF Santarém  ]]></institution>
<addr-line><![CDATA[Santarém ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Unidade Cuidados Médicos de Acidentes - Fidelidade  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital CUF Tejo  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>9</volume>
<numero>2</numero>
<fpage>173</fpage>
<lpage>177</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282022000200173&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282022000200173&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282022000200173&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Isolated trapezium fractures are rare, accounting for 0.4% of the hand injuries. As these injuries are often imperceptible on plain radiographs, diagnosis in the Emergency Department setting is challenging. Computed tomography scan can be helpful in the diagnosis. The gold standard treatment for trapezium fractures is still debatable. A 54 years-old male patient presented to an Emergency Department following a motorcycle accident. He reported pain and swelling on the radial half of his left non-dominant hand. Radiographs were inconclusive. Computed tomography scan and magnetic resonance imaging revealed an isolated trapezium fracture with a non-displaced small volar fragment. To our best knowledge, this fracture pattern has not been reported before. Conservative treatment resulted in union with excellent thumb function and no complications. This case highlights the importance of a high clinical suspicion, careful history taking, physical examination, and imaging interpretation to avoid missing a trapezium fracture.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo As fraturas do trapézio são raras, representando 0,4% das lesões da mão. Uma vez que estas costumam ser impercetíveis nas radiografias simples, o diagnóstico no contexto de Serviço de Urgência é desafiante. A tomografia computorizada pode ser útil no diagnóstico. O tratamento gold standard para fraturas do trapézio é discutível. Um paciente do género masculino, de 54 anos, foi admitido num Serviço de Urgência após um acidente de motociclo. Referia dor e tumefação na metade radial da mão esquerda, não dominante. As radiografias foram inconclusivas. A tomografia computorizada e a ressonância magnética revelaram uma fratura isolada do trapézio, com um pequeno fragmento volar coaptado. Pelo nosso conhecimento, este padrão de fratura ainda não foi descrito. O tratamento conservador resultou na união da fratura, com excelente função do polegar, sem complicações. Este caso destaca a importância de uma elevada suspeita clínica, anamnese cuidadosa, exame físico e interpretação dos exames de imagem para evitar falhar o diagnóstico de uma fratura do trapézio.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Fraturas Ósseas/diagnóstico]]></kwd>
<kwd lng="pt"><![CDATA[Trapézio/lesões]]></kwd>
<kwd lng="en"><![CDATA[Fractures, Bone/diagnosis]]></kwd>
<kwd lng="en"><![CDATA[Trapezium Bone/injuries]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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