Pearls

• Once traction, pronation, and abduction have been applied to the thumb for reduction, a

K wire may be placed overlying the first metacarpal trapezial level and a fluoroscopic image obtained.

• If the wire is in the appropriate position, draw a line with a marking pen to help as a guide when placing the K wire.

• The transfixing K wire need not cross the fracture site. Strive for perfect anatomic reduction, but a minor step-off may be acceptable.

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Peripheral Neuropathy Natural Treatment Options

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