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[Scaphoid fractures in children].

S Stahl1

  • 1Hand Surgery Unit, Rambam Medical Center, Haifa.

Harefuah
|July 7, 2000
PubMed
Summary
This summary is machine-generated.

Scaphoid fractures are rare in children but do occur, often resulting from direct blows or falls. Early clinical and radiological assessment is crucial for timely diagnosis and effective treatment with immobilization.

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Area of Science:

  • Orthopedics
  • Pediatric Traumatology
  • Radiology

Background:

  • The scaphoid bone is the most frequently fractured carpal bone in adults.
  • Scaphoid fractures are considered distinctly uncommon in the pediatric population.
  • Understanding the incidence and characteristics of pediatric scaphoid fractures is essential for appropriate management.

Purpose of the Study:

  • To present the experience of treating pediatric scaphoid fractures.
  • To analyze the mechanisms of injury, fracture patterns, and treatment outcomes in children.
  • To emphasize the importance of thorough examination in diagnosing these uncommon injuries.

Main Methods:

  • Retrospective review of 23 children treated for scaphoid fractures between 1987 and 1998.
  • Analysis of fracture location (distal third, waist), type (avulsion, undisplaced), and mechanism of injury.

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  • Evaluation of treatment outcomes, primarily immobilization in a plaster cast.

    • Main Results:

    • Nineteen of the 23 fractures were located in the distal third of the scaphoid.
    • Common fracture types included avulsions (11 cases) and waist fractures (4 cases); 12 were undisplaced.
    • Immobilization in a plaster cast resulted in union in all but one case.

    Conclusions:

    • Scaphoid fractures, while uncommon in children, do occur and should be considered in the differential diagnosis of wrist injuries.
    • A high index of suspicion, coupled with thorough clinical and radiological evaluation, is critical for accurate diagnosis.
    • Non-operative management, such as plaster cast immobilization, is generally effective for pediatric scaphoid fractures.