Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Carpal fractures in children

R N Wulff1, T L Schmidt

  • 1Children's Mercy Hospital, Kansas City, Missouri, USA.

Journal of Pediatric Orthopedics
|July 14, 1998
PubMed
Summary

Pediatric carpal fractures, especially scaphoid fractures, are typically low-energy injuries diagnosed via radiographs. Most child scaphoid fractures heal with conservative casting, though nonunion can occur due to noncompliance.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Modular peptide-functionalized gold nanorods for effective glioblastoma multicellular tumor spheroid targeting.

Biomaterials science·2018
Same author

Slipped capital femoral epiphysis in a patient with infantile tibia vara.

Orthopedics·2014
Same author

Hanbury Brown-Twiss correlations and noise in the charge transfer statistics through a multiterminal Kondo dot.

Physical review letters·2007
Same author

Characterization of the rhesus cytomegalovirus US28 locus.

Journal of virology·2003
Same author

Tensile properties of the physis vary with anatomic location, thickness, strain rate and age.

Journal of orthopaedic research : official publication of the Orthopaedic Research Society·2002
Same author

Cytotoxicity of ascorbate, lipoic acid, and other antioxidants in hollow fibre in vitro tumours.

British journal of cancer·2001

Area of Science:

  • Orthopedic surgery
  • Pediatric traumatology
  • Radiology

Background:

  • Carpal fractures in children are rare, with scaphoid fractures being the most common.
  • Understanding the epidemiology and treatment of these injuries is crucial for pediatric orthopedic care.

Purpose of the Study:

  • To review the characteristics, diagnosis, and treatment outcomes of carpal fractures in a pediatric population.
  • To evaluate the efficacy of conservative management for pediatric scaphoid fractures.

Main Methods:

  • Retrospective review of 37 pediatric patients with carpal fractures (33 scaphoid, 4 other carpals).
  • Analysis of injury mechanisms, clinical presentation, radiographic findings, diagnostic adjuncts, and treatment outcomes.
  • Data collected included patient age, injury mechanism, tenderness localization, radiographic evidence, need for bone scan, treatment modality, and healing time.

Main Results:

  • The mean age of patients was 13 years, 4 months.
  • Most injuries (over 80%) resulted from falls (low-energy mechanism).
  • Tenderness was present in 100% of cases, and 97.3% of fractures were visible on initial radiographs.
  • Conservative treatment (long or short-arm thumb spica cast) led to union in all but one scaphoid fracture (mean healing time 7.1 weeks). Other carpal fractures healed in a mean of 4.5 weeks.
  • One scaphoid nonunion was linked to patient noncompliance.

Conclusions:

  • Scaphoid fractures are the predominant carpal injury in children, often caused by low-energy falls.
  • Initial radiographs are highly effective in diagnosing carpal fractures in children.
  • Conservative management, primarily casting, is successful for most pediatric scaphoid fractures, with nonunion being rare and often associated with noncompliance.

Related Experiment Videos