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Related Experiment Videos

Scaphoid fracture in children.

Bassem T Elhassan1, Alexander Y Shin

  • 1Mayo Medical College, Department of Orthopaedic Surgery, Division of Hand Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.

Hand Clinics
|March 1, 2006
PubMed
Summary

Scaphoid fractures in children require a high suspicion and prompt diagnosis. Early treatment with casting or surgery ensures healing and prevents complications like nonunion.

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Musculoskeletal imaging

Background:

  • Scaphoid fractures are rare in pediatric populations.
  • Clinical suspicion is crucial for timely diagnosis in children.
  • Prompt evaluation is essential due to the potential for complications.

Purpose of the Study:

  • To outline the diagnostic and management strategies for pediatric scaphoid fractures.
  • To emphasize the importance of early detection and treatment.
  • To discuss the outcomes of various treatment modalities.

Main Methods:

  • Review of clinical presentation and diagnostic imaging (radiography, MRI).
  • Analysis of treatment approaches including cast immobilization and surgical fixation.
  • Evaluation of factors contributing to scaphoid nonunion.

Main Results:

  • Most scaphoid fractures in children heal successfully with cast immobilization.
  • Delayed diagnosis or missed fractures can lead to nonunion.
  • Both non-operative and operative treatments can achieve reliable union.

Conclusions:

  • A high index of suspicion is vital for diagnosing scaphoid fractures in children.
  • Appropriate radiographic and advanced imaging are key to accurate assessment.
  • Early intervention, whether conservative or surgical, leads to favorable outcomes and prevents nonunion.

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