Pediatric Scaphoid Fractures

Anz, Adam W.; Bushnell, Brandon D.; Bynum, Donald K.; Chloros, George D.; Wiesler, Ethan R.

doi:10.5435/00124635-200902000-00004

Cited by 45 publications

(53 citation statements)

References 41 publications

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“…In skeletally immature patients, it is traditionally the distal pole of the scaphoid that is affected most often, 6,22,23 in contrast with the adult population where fracture of the waist predominates. This has been partly attributed to the progressive ossification of the scaphoid bone in children from distal to proximal, 23,24 leaving the distal portion of the bone vulnerable to fractures from an earlier age.…”

Section: Discussionmentioning

confidence: 96%

“…This has been partly attributed to the progressive ossification of the scaphoid bone in children from distal to proximal, 23,24 leaving the distal portion of the bone vulnerable to fractures from an earlier age. In addition, extreme sporting activities associated with scaphoid fracture have traditionally been undertaken by adults rather than children.…”

Section: Discussionmentioning

confidence: 97%

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The Pediatric Fracture of the Scaphoid in Patients Aged 13 Years and Under

Ahmed

Ashton

Tay

et al. 2014

Journal of Pediatric Orthopaedics

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 97%

The Pediatric Fracture of the Scaphoid in Patients Aged 13 Years and Under

Ahmed

Ashton

Tay

et al. 2014

Journal of Pediatric Orthopaedics

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“…A literature review reveals a significant body of information regarding the epidemiology of either specific fractures (craniofacial [21], maxillofacial [22], wrist/distal radius [23,24], hand [25,26], knee [27], tibial tuberosity [28] or metatarsal bones [29]) or certain activity-related injuries (motocross [30], all-terrain vehicles [31], bicycle [32], falling down the stairs [33] or holiday-related [34]). However, the objective of the study was to address the epidemiology of MSP in the ED and not the epidemiology of pediatric fractures or injuries.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of musculoskeletal pain in a pediatric emergency department

et al. 2015

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The objectives of this study were (1) to determine the percentage of emergency department (ED) visits due to musculoskeletal pain (MSP) by children 3-14 years of age during a period of 1 year; (2) to determine the most frequent presenting complaints; and (3) to characterize their etiology. A cross-sectional study was performed on children aged 3-14(11/12) years attended at the ED of a tertiary hospital due to MSP. The demographic and clinical characteristics of the patients were reviewed 5 days each month for 12 consecutive months. Study days were selected by computer-generated simple random sampling. Out of 4,531 visits to the ED, 826 were due to MSP (18.2 %; 95 % CI 17.1-19.4 %). When compared with children with no skeletal complaints, children with MSP had a similar sex distribution but were older (mean ± SD 7 ± 3.5 years vs 9.9 ± 3.1 years; p < 0.0001). The most common complaints were pain at the wrist (19 %), ankle (19 %) and finger (15 %). The most common etiology was trauma (88.4 %), including contusions (38 %), fractures (21 %) and sprains (18 %). Children with hip (6.7 ± 3 years; p < 0.0001) and elbow (7.8 ± 3.5 years; p < 0.0001) complaints were younger than children with pain in other locations, whereas children with wrist pain (10.5 ± 2.6 years; p < 0.002) and joint sprains (10.7 ± 2.7 years; p < 0.0001) were older. Fractures were more frequent in boys (64 vs 36 %, p = 0.008; OR 1.6; CI 1.1-2.2). Visits to the ED due to MSP increased with age. Pain at three locations represented 50 % of the presenting complaints. Trauma was the principal etiology, but fractures only represented one-fifth of the total.

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“…33,41 Most authors recommend a thumb spica casting for 2 weeks with repeat imaging to determine the course of treatment. 39,41,42 There is little consensus on short or long arm casting, however, if radiographs at 2 weeks are negative and the child has improved symptoms, no further immobilization is recommended. 39,41,42 MRI may be used to rule out a fracture shortly after the injury.…”

Section: Specific Injuriesmentioning

confidence: 99%

Pediatric Hand Fractures

2013

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Summary Pediatric hand fractures are common childhood injuries. Identification of the fractures in the emergency room setting can be challenging owing to the physes and incomplete ossification of the carpus that are not revealed in the xrays. Most simple fractures can be treated with appropriate immobilization through buddy taping, finger splints, or casting. If correctly diagnosed, reduced and immobilized, these fractures usually result in excellent clinical outcomes. However, fractures may require operative stabilization if they have substantial angulation or rotation, extend into the joint, or cannot be held in a reduced position with splinting alone. Most fractures can be treated operatively with closed reduction and percutaneous pinning if addressed within the first week following the injury. In children, the thick, vascular-rich periosteum and bony remodeling potential make anatomic reductions and internal fixation rarely necessary. Most fractures complete bony healing in 3-4 weeks, with the scaphoid being a notable exception. Following immobilization, children rarely develop hand stiffness and formal occupational therapy is usually not necessary. Despite the high potential for excellent outcomes in pediatric hand fractures, some fractures remain difficult to diagnose and treat.

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Pediatric Scaphoid Fractures

Cited by 45 publications

References 41 publications

The Pediatric Fracture of the Scaphoid in Patients Aged 13 Years and Under

The Pediatric Fracture of the Scaphoid in Patients Aged 13 Years and Under

Epidemiology of musculoskeletal pain in a pediatric emergency department

Pediatric Hand Fractures

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