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Pediatric Scaphoid Fracture Associated with Osteopetrosis: A Case Report
Sonia Chaudhry1, Anna Jorgensen2, Jordan Pasternack3
1Department of Orthopaedic Surgery, Connecticut Children's Medical Center, University of Connecticut School of Medicine, Hartford, Connecticut.
Case:
A 12-year-old boy with osteopetrosis sustained a scaphoid waist fracture, which has not previously been reported with this condition. Healing was successfully achieved with percutaneous cannulated compression screw fixation, albeit with prolonged healing as is typical for this condition.
Conclusion:
A lack of osteoclastic remodeling predisposes patients with osteopetrosis to fractures, commonly in long bones. Increased risks of infection, anesthesia, and broken hardware along with limited ability to compress bone may discourage operative management. Internal fixation should still be considered in select cases to limit displacement while allowing early range of motion.
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