Carpal scaphoid fracture nonunion in children.
Four new cases of carpal scaphoid nonunion in children are presented. This rare injury is characterized by delay in treatment of the scaphoid fracture or incorrect immobilization. The Matti-Russe procedure was performed with autograft harvested from the proximal cubitus, achieving complete consolidation in every patient. No complications occurred and there was no significantly limited mobility. The author speculates about the posibility of partial or complete consolidation of the scaphoid fracture without treatment as a part of the natural history of this fracture in children.
Hospital Virgen del Camino, Pamplona, Spain. sgmata@medna.es
Serafin
S
García-Mata
D000293:Adolescent; D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D005592:Fracture Fixation / Q000009:adverse effects / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D005596:Fractures, Closed / Q000000981:diagnostic imaging / Q000628:therapy; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007103:Immobilization; D015601:Injury Severity Score; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D009989:Orthotic Devices; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular; D020127:Recovery of Function; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries; D016896:Treatment Outcome; D014954:Wrist Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*