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We describe a 9-year-old male who suffered a linear, non-displaced scaphoid fracture following a pedestrian motor vehicle accident. Initially, X-ray imaging failed to detect the fracture, but MRI confirmed the diagnosis, highlighting the challenges in identifying scaphoid fractures in pediatric patients due to the bone's cartilaginous nature in this age group. The patient was treated with immobilization using a Plaster of Paris cast, consistent with standard management for non-displaced fractures in children. He experienced pain improvement and achieved bone union after eight weeks, returning to normal activities without complications. The discussion emphasizes the rarity of scaphoid fractures in children under 10 and underscores the increasing incidence of such injuries in pediatric populations due to sports participation. A comparative analysis of similar cases in children of different ages is included, demonstrating variations in fracture types, treatment approaches, and outcomes, providing valuableinsights into the management of pediatric scaphoid fractures.
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http://dx.doi.org/10.1016/j.radcr.2024.10.087 | DOI Listing |
J Hand Microsurg
November 2025
Hand Surgeon, Private Practice, C. de Serrano, 58, Salamanca, 28001, Madrid, Spain.
Scapholunate (SL) instability remains a challenging condition with significant possibility of implications for wrist function and long-term outcomes. This review explores the limitations and complications of current trans-osseous scapholunate ligament (SLL) reconstruction techniques, focusing on isometric reconstruction challenges and complications, for example osteonecrosis, tunnel fractures, graft failure, and iatrogenic extrinsic ligament injuries. Through biomechanical analysis and clinical case reviews, we demonstrate that the conventional three-ligament tenodesis (3LT) scaphoid tunnel has high risk of resulting in a non-isometric volar scapho-trapezial (vST) ligament reconstruction, potentially exacerbating carpal instability.
View Article and Find Full Text PDFBioengineering (Basel)
July 2025
Laboratory for Movement Biomechanics, Department of Health Sciences and Technology, ETH Zürich, 8092 Zürich, Switzerland.
The scaphoid is the most commonly fractured carpal bone. Headless compression screws became the gold standard for fixation, but the ideal screw diameter remains debated. This study investigates the relative benefit of using a larger screw diameter to improve stability in typical scaphoid fractures.
View Article and Find Full Text PDFJBJS Essent Surg Tech
August 2025
Duke University Medical Center, Durham, North Carolina.
Background: Scaphoid fractures are a common, yet challenging, injury to treat. The mini-open dorsal approach to the scaphoid is a simple, yet effective, approach that allows for improved visualization and more accurate screw placement in the setting of scaphoid fracture fixation.
Description: An approximately 2-cm longitudinal incision is made centered over the dorsal radiocarpal joint, just ulnar to the Lister tubercle.
Eur J Trauma Emerg Surg
August 2025
Department of Orthopaedics and Trauma Surgery, Bürgerspital Solothurn, Solothurn, 4500, Switzerland.
Purpose: Triquetrum fractures are the second most common carpal fracture after scaphoid fractures with dorsal triquetrum chip fracture being the most common fracture type. There is little evidence about treatment and outcome of these fractures.
Method: In this retrospective study of 39 patients, non-operative treatment with a wrist orthosis is compared to a cast.
JB JS Open Access
August 2025
Department of Orthopedic Surgery, Kumamoto University, Chuo-ku, Kumamoto, Japan.
Background: Carpometacarpal (CM) joint osteoarthritis of the thumb is characterized by pain and impaired thumb function in terms of pinch and range of motion. Here, we newly adopted a trapeziectomy with a graft-augmented ligament reconstruction procedure, in which the reconstructed ligament is reinforced using a half-slip extensor carpi radialis longus (ECRL) tendon.
Methods: From 2015 to 2022, 101 hands of 95 patients with CM joint osteoarthritis of the thumb underwent trapeziectomy with graft-augmented ligament reconstruction using the half-slip ECRL tendon to reconstruct the ligament.