[Scaphoid fractures in children].
The scaphoid is the most common carpal bone fractured in adults. In children the fracture is distinctly uncommon. We present our experience with 23 children treated between 1987-1998, 19 of them with fractures in the distal third of the wrist; there were 11 avulsions, 4 waist fractures, and 12 were undisplaced. The mechanism of injury was a direct blow or a fall onto the outstretched hand. Immobilization in a plaster cast led to union in all except 1 case. Based on our experience and study of the literature, it is evident that scaphoid fractures, although uncommon, do occur. Thorough clinical and radiological examination of children with a forearm or wrist injury is important in detecting such fractures.
Stahl
S
S
Hand Surgery Unit, Rambam Medical Center, Haifa.
D000058:Accidental Falls; D000328:Adult; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D002370:Casts, Surgical; D002648:Child; D050723:Fractures, Bone / Q000145:classification* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D012189:Retrospective Studies