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Diagnostic Approach for Suspected Scaphoid Fractures in Children.

Tim T Lögters1,2, Wolfgang Linhart3, Dominique Schubert4

  • 1Department of Trauma and Hand Surgery, University Hospital Düsseldorf, Düsseldorf, Germany. Tim.Loegters@uni-duesseldorf.de.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary

Pediatric scaphoid fractures are uncommon. Early magnetic resonance imaging (MRI) aided diagnosis and conservative treatment led to successful healing in a 13-year-old boy with a scaphoid waist fracture.

Keywords:
ChildrenDiagnosisMRIScaphoid fractureSkelettaly immature carpus

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Diagnostic Imaging

Background:

  • Scaphoid fractures are rare in pediatric populations.
  • Wrist injuries in children require careful diagnostic evaluation.
  • The scaphoid bone is the most commonly fractured carpal bone.

Purpose of the Study:

  • To report a case of a complete scaphoid waist fracture in a pediatric patient.
  • To discuss the diagnostic approach for suspected scaphoid fractures in children.
  • To highlight the utility of MRI in diagnosing these injuries.

Main Methods:

  • Case report of a 13-year-old boy with a wrist injury.
  • Diagnosis confirmed by Magnetic Resonance Imaging (MRI).
  • Treatment involved conservative management.

Main Results:

  • The pediatric scaphoid fracture healed uneventfully with conservative treatment.
  • Early MRI facilitated prompt diagnosis.
  • Conservative management was successful in this case.

Conclusions:

  • Scaphoid fractures in children, though rare, necessitate a high index of suspicion.
  • MRI is a valuable tool for early and accurate diagnosis of pediatric scaphoid fractures.
  • Conservative treatment can be effective for complete scaphoid waist fractures in children when diagnosed early.