Scaphoid fractures in children
Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone...
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Serbian Medical Society
2014-01-01
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Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791408444G.pdf |
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doaj-0bc50c74d41d48fcbf74f629794c22e72021-01-02T02:16:09ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792014-01-011427-844444910.2298/SARH1408444G0370-81791408444GScaphoid fractures in childrenGajdobranski Đorđe0Živanović Dragoljub1Mikov Aleksandra2Slavković Anđelka3Marić Dušan4Marjanović Zoran5Milankov Vukadin6Medical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi SadMedical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, NišMedical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi SadMedical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, NišMedical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi SadMedical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, NišMedical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi SadIntroduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed fracture healing various types of treatment are available. Objective. To determine the mechanism of injury, clinical healing process, types and outcome of treatment of scaphoid fractures in children. Methods. We retrospectively analyzed patients with traumatic closed fracture of the scaphoid bone over a ten-year period (2002-2011). The outcome of the treatment of “acute” scaphoid fracture was evaluated using the Mayo Wrist Score. Results. There were in total 34 patients, of mean age 13.8 years, with traumatic closed fracture of the scaphoid bone, whose bone growth was not finished yet. Most common injury mechanism was fall on outstretched arm - 76% of patients. During the examined period 31 children with “acute” fracture underwent conservative treatment, with average immobilization period of 51 days. Six patients were lost to follow-up. In the remaining 25 patients, after completed rehabilitation, functional results determined by the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of “acute” scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791408444G.pdfscaphoidfracturetreatmentchildren |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gajdobranski Đorđe Živanović Dragoljub Mikov Aleksandra Slavković Anđelka Marić Dušan Marjanović Zoran Milankov Vukadin |
spellingShingle |
Gajdobranski Đorđe Živanović Dragoljub Mikov Aleksandra Slavković Anđelka Marić Dušan Marjanović Zoran Milankov Vukadin Scaphoid fractures in children Srpski Arhiv za Celokupno Lekarstvo scaphoid fracture treatment children |
author_facet |
Gajdobranski Đorđe Živanović Dragoljub Mikov Aleksandra Slavković Anđelka Marić Dušan Marjanović Zoran Milankov Vukadin |
author_sort |
Gajdobranski Đorđe |
title |
Scaphoid fractures in children |
title_short |
Scaphoid fractures in children |
title_full |
Scaphoid fractures in children |
title_fullStr |
Scaphoid fractures in children |
title_full_unstemmed |
Scaphoid fractures in children |
title_sort |
scaphoid fractures in children |
publisher |
Serbian Medical Society |
series |
Srpski Arhiv za Celokupno Lekarstvo |
issn |
0370-8179 |
publishDate |
2014-01-01 |
description |
Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very
difficult to establish because carpal bones are not fully ossified. In
suspected cases comparative or delayed radiography is used, as well as
computerized tomography, magnetic resonance imaging, ultrasound and bone
scintigraphy. Majority of scaphoid fractures are treated conservatively with
good results. In case of delayed fracture healing various types of treatment
are available. Objective. To determine the mechanism of injury, clinical
healing process, types and outcome of treatment of scaphoid fractures in
children. Methods. We retrospectively analyzed patients with traumatic closed
fracture of the scaphoid bone over a ten-year period (2002-2011). The outcome
of the treatment of “acute” scaphoid fracture was evaluated using the Mayo
Wrist Score. Results. There were in total 34 patients, of mean age 13.8
years, with traumatic closed fracture of the scaphoid bone, whose bone growth
was not finished yet. Most common injury mechanism was fall on outstretched
arm - 76% of patients. During the examined period 31 children with “acute”
fracture underwent conservative treatment, with average immobilization period
of 51 days. Six patients were lost to follow-up. In the remaining 25
patients, after completed rehabilitation, functional results determined by
the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of
“acute” scaphoid fractures is an acceptable treatment option for pediatric
patients with excellent functional results. |
topic |
scaphoid fracture treatment children |
url |
http://www.doiserbia.nb.rs/img/doi/0370-8179/2014/0370-81791408444G.pdf |
work_keys_str_mv |
AT gajdobranskiđorđe scaphoidfracturesinchildren AT zivanovicdragoljub scaphoidfracturesinchildren AT mikovaleksandra scaphoidfracturesinchildren AT slavkovicanđelka scaphoidfracturesinchildren AT maricdusan scaphoidfracturesinchildren AT marjanoviczoran scaphoidfracturesinchildren AT milankovvukadin scaphoidfracturesinchildren |
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