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Scaphoid fractures in children.
Srpski Arhiv Za Celokupno Lekarstvo
|September 20, 2014
Summary
Conservative treatment for pediatric scaphoid fractures, often caused by falls on an outstretched arm, yields excellent functional results. This approach is a viable option for acute wrist injuries in children.
Area of Science:
- Pediatric Orthopedics
- Traumatology
- Hand Surgery
Background:
- Scaphoid fractures are uncommon in children due to unossified carpal bones, complicating diagnosis.
- Various imaging techniques like radiography, CT, MRI, ultrasound, and bone scintigraphy aid in diagnosis.
- Most pediatric scaphoid fractures are managed conservatively with positive outcomes.
Purpose of the Study:
- To investigate the injury mechanisms, healing process, treatment modalities, and outcomes of pediatric scaphoid fractures.
- To evaluate the effectiveness of conservative treatment for acute scaphoid fractures in children.
Main Methods:
- Retrospective analysis of pediatric patients with traumatic closed scaphoid fractures from 2002-2011.
- Outcome assessment using the Mayo Wrist Score for patients treated for acute scaphoid fractures.
Main Results:
- 34 pediatric patients (mean age 13.8 years) with incomplete bone growth were included.
- Falls on an outstretched arm were the predominant injury mechanism (76%).
- Conservative treatment with an average immobilization of 51 days resulted in excellent functional outcomes (Mayo Wrist Score) in 25 evaluated patients.
Conclusions:
- Conservative therapy is an effective and acceptable treatment for acute scaphoid fractures in pediatric patients.
- Excellent functional results can be achieved with non-operative management of pediatric scaphoid fractures.
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