title: [Carpal injuries in children].
abstract: Carpal injuries in children are uncommon. Radiographic diagnosis can be difficult because of late ossification of carpal bones. Scaphoid fracture occurs in 3% of hand and wrist fractures. Fractures in the distal third or at the waist are the most frequent fracture sites. In case of clinical and X-rays presumption, CT-scan and MRI often diagnose scaphoid fractures. Orthopaedic treatment with closed cast for 8 weeks, or more for adolescents, gives a high rate of union in non-displaced or minimally-displaced fractures. Non-union is the most frequent complication. Closed cast can be the treatment of non-union in absence of humpback or DISI deformity. Other carpal bone fractures or ligament injuries of the wrist in children are uncommon and CT-scan, MRI or arthroscopy can be useful in case of clinical suspicion.
authors.affiliation: Service de chirurgie infantile A, hôpital d'enfants, CHU de Nancy, allée du Morvan, 54500 Vandœuvre-lès-Nancy, France. Electronic address: p.journeau@chu-nancy.fr.
authors.forename: P
authors.initials: P
authors.lastname: Journeau
mesh_terms: D002348:Carpal Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D050723:Fractures, Bone / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D011859:Radiography
keywords: Capitate fracture; Children; Enfant; Fracture du capitatum; Fracture du lunatum; Fracture du scaphoïde; Lunate fracture; Luxation périlunaire; Perilunar dislocation; Scaphoid fracture