Scaphoid fractures with unusual presentations: a case series

Abstract

Despite the high incidence of scaphoid fractures, their diagnosis and treatment is often delayed which can lead to complications such as non-union, avascular necrosis, and future arthritis. We present three cases with non-classical mechanisms of injury, leading to a delayed diagnosis in all three cases. Our cases serve to emphasize the importance of a high index of suspicion for the possibility of scaphoid fractures in order to avoid these potential complications.

Scaphoid fractures in athletes – the importance of a diagnostic process

“…[21;22] W związku z ograniczeniem unaczynienia bieguna proksymalnego oraz jego zależności od przepływu wewnątrzkostnego krwi, okres gojenia urazu jest wydłużony i wynosi od 3 do 6 miesięcy. [22] Podsumowanie Złamania kości łódeczkowatej stanowią w dalszym ciągu często wyzwanie diagnostyczne. Zdjęcie RTG będąc pierwszym wyborem zawodzi nawet w 2/3 przypadków.…”

Evaluation of bone remodeling in regard to the age of scaphoid non-unions

“…Scaphoid non-union (SNU) occurs in approximately 5% to 13% of treated scaphoid fractures and in an unknown number of unrecognized fractures [2,[4][5][6] . The reasons for this high non-union rate are multifactorial including fracture location and vascularity, failure of recognizing the fracture and inadequate initial treatment [7,8] . Additionally, scaphoid fractures heal by intramembranous ossification, which leaves the scaphoid without protective fracture callus against potentially disruptive forces.…”