Pediatric fractures of the carpal scaphoid: a retrospective clinical and radiological study

A retrospective study was undertaken of 22 carpal scaphoid fracture patients younger than 18 years. Of these, 17 patients received conservative treatment, and 5 received treatment involving screw fixation with or without a bone graft from the iliac crest. Clinical outcomes were evaluated using the Cooney score. Radiographs were analyzed with respect to the site of the fracture, the course of the fracture gap, displacement, and time to union. According to the Cooney score, in 94% of patients, good or excellent results were obtained. A total of 94% of patients considered their result as good or excellent. All fractures healed. Malunion was evident in 1 case.