A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

Kohring, Jessica M.; Curtiss, Heather M.; Tyser, Andrew R.

doi:10.1155/2016/8098657

Cited by 12 publications

(4 citation statements)

References 17 publications

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“…Stress fractures of the scaphoid caused by repetitive microtrauma are uncommon, and only a few case reports exist in the literature. 5 Patients often report only nonspecific wrist pain, and correct diagnosis is often delayed. Therefore, assessing with reasonable certainty whether the increasing pain 1 year after the first procedure in our patient was caused by the concomitant scaphoid stress fracture dating back some time, the lunocapitate joint OA alone, or a combination of both was not possible.…”

Section: Discussionmentioning

confidence: 99%

The Crucial Role of Locking Screws in Total Wrist Arthroplasty: Should We Always Revise or Not?

Schmidt

2024

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

The Crucial Role of Locking Screws in Total Wrist Arthroplasty: Should We Always Revise or Not?

Schmidt

2024

Journal of Hand Surgery Global Online

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“…5 Kohring et al recently reviewed the literature regarding scaphoid stress fracture and identified 16 cases (12 unilateral, 4 bilateral). 6 Nine of the cases were treated nonoperatively and seven with internal fixation (two after nonunion following initial nonoperative treatment). All fractures were reported to have united and the patients returned to highlevel sport with no further problems.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of Scaphoid Stress Fracture: A Case Report

2021

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Background Scaphoid stress fractures are rare and typically present in young, elite male athletes. Due to the infrequency in which these injuries are encountered, the optimum management is not established. Case Description We present the case of a 20-year-old male gymnast with bilateral stress fractures of the scaphoid waist. Following conservative treatment, clinical and radiological signs of union were seen bilaterally. Eight months after return to normal activities, a unilateral recurrence of the stress fracture occurred. This was successfully treated with internal fixation and bone grafting. Literature Review Scaphoid stress fractures are most frequently seen in gymnasts but also occur in participants of other sports involving repetitive loading of an extended wrist. This action conveys force predominantly through the waist of the scaphoid. Most case studies have reported high union rates, whether treated operatively or conservatively, and the patients returned to high-level sport with no further problems. Stress fracture recurrence has been reported in other bones such as the metatarsal and tibia but never before in the scaphoid. Our case is unusual in that the patient suffered ongoing problems due to a recurrence of the scaphoid stress fracture after returning to normal activities. Clinical Relevance Clinicians should be aware that scaphoid stress fracture recurrence can occur, counsel patients accordingly, and remain vigilant after apparent union. We would recommend early fixation to allow a quicker return to function and prevention of recurrence.

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“…Other signs of scaphoid fracture are pain with longitudinal thumb compression (sensitivity 100%, specificity 48%), and on palpating the scaphoid tubercle (sensitivity 100%, specificity 30%). It is a good practice to compare both wrists during the examination [10][11][12]. Decrease of the grip strength by more than 50% as compared to the contralateral side increases the positive predictive value for a scaphoid fracture [13,14].…”

Section: Discussionmentioning

confidence: 99%

Accuracy of the common practice of doing X-rays after two weeks in detecting scaphoid fractures. A retrospective cohort study

Mohamed¹,

Arnander²

2019

Hong Kong J Orthop Res

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Introduction: Although the NICE guidelines are clear in considering MRI as the gold standard for suspected scaphoid fracture, we noticed that there is a common practice of doing x-ray after two weeks. One of the reasons for that is the long waiting list till obtaining the MRI. The aim of our study is to illustrate the accuracy of this practice and to put an algorithm trying to make NICE guidelines more practical. Methods: In this retrospective study, we included135 acute trauma patients with suspected scaphoid fractures in St George's University Hospitals, London, UK, in the period between 01 /12 /2018 and 01/02/2019. Mechanism of injury, X-ray views and reports, CT and MRI reasons and results were recorded. All patients were followed by clinical examination and X-rays after six weeks from the injury. Results: Only 28 cases (20.7%) from the 135 cases included were proven to have scaphoid fractures (20 cases diagnosed from initial X-ray, two from X-rays after two weeks and 6 cases missed by both and diagnosed by CT and MRI). 69% of negative radiology initial reports recommend clinical reassessment and considering further imaging. Sensitivity, specificity, and accuracy of X-ray after two weeks were 25%, 78.5%, and 74.4%. Conclusion: MRI is the gold standard for diagnosing scaphoid fractures and excluding other wrist pathology. We should discourage the currently common practice of repeating X-rays after two weeks due to its low sensitivity. Clinical examination after two weeks and considering further imaging, other than repeat X-ray, is the best practice if MRI is delayed.

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A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

Cited by 12 publications

References 17 publications

The Crucial Role of Locking Screws in Total Wrist Arthroplasty: Should We Always Revise or Not?

The Crucial Role of Locking Screws in Total Wrist Arthroplasty: Should We Always Revise or Not?

Recurrence of Scaphoid Stress Fracture: A Case Report

Accuracy of the common practice of doing X-rays after two weeks in detecting scaphoid fractures. A retrospective cohort study

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