Clinical Scaphoid Fractures in Children: A Prospective Radiological Study

OrthoMedia ◽  
2022 ◽  
Keyword(s):  
Radiological Study ◽  
Scaphoid Fractures ◽  
Fractures In Children

scholarly journals Scaphoid Fractures below the Age of 10: Case Series and Review of the Literature

2020 ◽  
Vol 9 (06) ◽  
pp. 458-464
Author(s):  
Rachana Tataria ◽  
Jeannette Ting ◽  
Andrea Jester ◽  
Tommy R. Lindau ◽  
Kerstin Oestreich
Keyword(s):  
Pediatric Population ◽  
Age Groups ◽  
Case Series ◽  
Final Diagnosis ◽  
Scaphoid Bone ◽  
Age Group ◽  
Level Of Evidence ◽  
Scaphoid Fractures ◽  
Fractures In Children ◽  
Common Location

Abstract Background Scaphoid fractures are relatively uncommon in children, especially below the age of 10 due to the ossification of the scaphoid bone, which starts around 4 to 6 years of age and continues until 13 to 15 years of age, where pediatric scaphoid fractures peak. This makes the diagnoses challenging in this age group. Methods The primary aim of this study was to analyze prospectively collected data in managing scaphoid fractures. All cases in children up to the age of 10 years, treated in a tertiary pediatric hand and upper limb from January 2014 to June 2018 were included. Parameters studied were patient demographics, clinical presentation, mechanism of injury, investigations, type of fracture, associated injuries, treatment offered, outcomes and complications. The secondary aim was to review the literature due to the limited knowledge about these fractures in these low age groups. Results A total of 23 patients with documented scaphoid fractures in children up to the age of 10 years were found. Final diagnosis in all these patients was done with magnetic resonance imaging (MRI). The mean age was 9.8 years, with female preponderance. Scaphoid waist was the most common location. Five patients had associated fractures of the capitate and one patient had associated second metacarpal base fracture. All patients were managed nonoperatively. The average time of immobilization was 6.6 weeks (range: 4–10 weeks). A majority of patients had minor symptoms after the fracture, most likely due to the immobilization time. Conclusion Scaphoid fractures are rare in the pediatric population up to the age of 10. MRI is most often needed to confirm diagnosis. Nonoperative management of most scaphoid fractures in this age group is safe and feasible with no significant long-term morbidity. Surgical management of scaphoid fractures might be required in very selected cases. Level of Evidence This is a Level IV study.

Incidence of Post-Traumatic Arthrosis after Primary Healing of Scaphoid Fractures: A Clinical and Radiological Study

1990 ◽  
Vol 15 (1) ◽  
pp. 11-13
Author(s):  
G. LINDSTRÖM ◽  
A. NYSTRÖM
Keyword(s):  
Retrospective Study ◽  
Radiological Study ◽  
Scaphoid Fractures ◽  
Radiological Evidence ◽  
Post Traumatic ◽  
Primary Healing

In a retrospective study of 229 patients with healed fractures of the waist of the scaphoid, the incidence and development of post-traumatic radiocarpal arthrosis was studied. With a minimum follow-up period of seven years, 5.2% of patients showed radiological evidence of radiocarpal arthrosis. It is concluded that an alteration of the carpal dynamics, due to deformation and shortening of the scaphoid, is the most likely cause of post-traumatic arthrosis after primary healing of scaphoid fractures.

Two cases of non-union of carpal scaphoid fractures in children

Injury ◽  
1982 ◽  
Vol 13 (5) ◽  
pp. 441-443 ◽  
Author(s):  
M.J. Maxted ◽  
R. Owen
Keyword(s):  
Non Union ◽  
Scaphoid Fractures ◽  
Fractures In Children

Functional Outcomes Following Treatment of Scaphoid Fractures in Children and Adolescents

2013 ◽  
Vol 38 (10) ◽  
pp. e49 ◽  
Author(s):  
J. Joseph Gholson ◽  
Peter M. Waters ◽  
David Zurakowski ◽  
Donald S. Bae
Keyword(s):  
Children And Adolescents ◽  
Functional Outcomes ◽  
Scaphoid Fractures ◽  
Fractures In Children

Scaphoid fractures in children

1984 ◽  
Vol 9 (4) ◽  
pp. 536-541 ◽  
Author(s):  
Mark H. Greene ◽  
Ahmad M. Hadied ◽  
Richard L. LaMont
Keyword(s):  
Scaphoid Fractures ◽  
Fractures In Children

Clinically Suspected Scaphoid Fractures in Children

2009 ◽  
Vol 29 (4) ◽  
pp. 352-355 ◽  
Author(s):  
Andrea J. Evenski ◽  
Mark J. Adamczyk ◽  
Richard P. Steiner ◽  
Melanie A. Morscher ◽  
Patrick M. Riley
Keyword(s):  
Scaphoid Fractures ◽  
Fractures In Children

Scaphoid Fractures in Children: Problems and Treatment

2003 ◽  
Vol 23 (2) ◽  
pp. 216-221 ◽  
Author(s):  
Satoshi Toh ◽  
Hitoshi Miura ◽  
Kouichi Arai ◽  
Masahiro Yasumura ◽  
Masayuki Wada ◽  
...  
Keyword(s):  
Scaphoid Fractures ◽  
Fractures In Children

Imaging the Position of a Screw within the Scaphoid

1993 ◽  
Vol 18 (6) ◽  
pp. 716-724 ◽  
Author(s):  
J. P. COMPSON ◽  
F. W. HEATLEY
Keyword(s):  
Proximal Pole ◽  
Radiological Study ◽  
Bone Screw ◽  
Non Union ◽  
Scaphoid Fractures ◽  
Distal Pole ◽  
Screw Position

In an audit of 68 scaphoid fractures with delayed and non-union that had been internally fixed using the Herbert bone screw, it was found that 39 had a significant fault in screw position. Poor intra-operatrve imaging was a major contributing factor. An anatomical and radiological study was therefore performed to evaluate which views were necessary in order to be confident about screw position. We recommend a minimum of four views. To display the proximal pole, an ulnar deviated postero-anterior (PA) view and true lateral; and to display the distal pole, a semi-pronated and semi-supinated view.

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