title: [An occult fracture of the capitate bone].
abstract: BACKGROUND
  Evaluating patients with wrist injuries is diagnostically challenging. Physical examination alone is not sufficient for establishing a diagnosis and fractures of the wrist region are not always visible on x-rays.
  
  
  METHODS
  In this article, we present a case of a patient who had sustained trauma to the wrist and was taken care of at the emergency department. The mechanism of trauma and clinical findings strongly indicated a fracture of the scaphoid bone. No abnormality was visible on x-rays; the fracture was treated by casting nonetheless. On a CT scan performed later, there indeed appear to be a non-dislocated fracture of the capitate bone present. The diagnosis was confirmed by bone scintigraphy a few days later. The patient recovered without complications.
  
  
  CONCLUSIONS
  Fractures of the capitate bone are serious carpal injuries that must be treated as aggressively as fractures of the scaphoid bone. Conventional radiological examinations cannot rule out a fracture of the wrist; if doubt persists, readily accessible imaging techniques (such as CT or MRI) should be conducted.
authors: Het Röpcke-Zweers Ziekenhuis, afd. Spoedeisende Hulp, Hardenberg.
authors: Sahel
authors: S
authors: Zoakman
authors: Steven J
authors: SJ
authors: Rhemrev
mesh_terms: D000328:Adult; D051224:Capitate Bone / Q000293:injuries*; D006801:Humans; D008297:Male; D011859:Radiography; D011877:Radionuclide Imaging; D014954:Wrist Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging