Pediatric fractures of the carpal scaphoid: a retrospective clinical and radiological study.
A retrospective study was undertaken of 22 carpal scaphoid fracture patients younger than 18 years. Of these, 17 patients received conservative treatment, and 5 received treatment involving screw fixation with or without a bone graft from the iliac crest. Clinical outcomes were evaluated using the Cooney score. Radiographs were analyzed with respect to the site of the fracture, the course of the fracture gap, displacement, and time to union. According to the Cooney score, in 94% of patients, good or excellent results were obtained. A total of 94% of patients considered their result as good or excellent. All fractures healed. Malunion was evident in 1 case.
Huckstadt
Thomas
T
Department of Pediatric Surgery, University Medical Center Mainz, Mainz, Germany.
Klitscher
Daniela
D
Weltzien
Alexandra
A
Müller
Lars Peter
LP
Rommens
Pol Maria
PM
Schier
Felix
F
D000293:Adolescent; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006230:Hand Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D012189:Retrospective Studies; D021361:Scaphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D015599:Trauma Severity Indices; D016896:Treatment Outcome