PMID- 37356568
OWN - NLM
STAT- MEDLINE
DCOM- 20231023
LR  - 20231027
IS  - 2468-1210 (Electronic)
IS  - 2468-1210 (Linking)
VI  - 42
IP  - 5
DP  - 2023 Oct
TI  - Paediatric fractures of carpal bones other than the scaphoid.
PG  - 406-412
LID - S2468-1229(23)00118-4 [pii]
LID - 10.1016/j.hansur.2023.06.009 [doi]
AB  - OBJECTIVES: Fractures of carpal bones other than the scaphoid are rare in 
      children. The aim of this study was to analyze results and identify risk factors 
      for an unfavorable outcome. MATERIAL AND METHODS: Children and adolescents up to 
      the age of 16 years who sustained a carpal fracture other than in the scaphoid 
      between 2004 and 2021 were reviewed in this single-center retrospective study. 
      RESULTS: In a series of 209 children and adolescents with carpal fractures, 22 
      had fractures other than the scaphoid. Mean age was 13 years (range 8-16) years, 
      with a total of 41 fractures, with highest incidences for the capitate (10), 
      trapezium (6), triquetrum (4) and pisiform (4). Twenty-nine of these 41 fractures 
      were missed on initial X-ray. Non-displaced fractures were treated with a short 
      arm spica cast including the thumb. Four patients were operated on for 
      displacement fracture or carpometacarpal subluxation. All fractures united, and 
      patients returned to full activities. At the final consultation at a median 14 
      months (range 6-89) post-injury, all patients with non-displaced fractures were 
      free of symptoms, with excellent Mayo Wrist Scores (MWS). However, three patients 
      with operated trapezium fractures developed early radiological signs of 
      osteoarthritis, two of them with residual pain and MWS rated only good. 
      CONCLUSION: Non-displaced pediatric carpal fractures treated by forearm cast have 
      excellent prognosis. Fractures of the trapezium with displacement or first 
      carpometacarpal subluxation incur a risk of osteoarthritis despite anatomical 
      reduction and internal fixation.
CI  - Copyright (c) 2023 SFCM. Published by Elsevier Masson SAS. All rights reserved.
FAU - Weber, Daniel M
AU  - Weber DM
AD  - Division of Paediatric Hand Surgery and Children's Research Centre, University 
      Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 
      Zurich, Switzerland. Electronic address: daniel.weber@kispi.uzh.ch.
FAU - Kraus, Ralf
AU  - Kraus R
AD  - Klinikum Bad Hersfeld, Seilerweg 29, Bad Hersfeld, Germany. Electronic address: 
      ralf.kraus@klinikum-hef.de.
FAU - Wirth-Welle, Ruth
AU  - Wirth-Welle R
AD  - Division of Hand Surgery, Kantonsspital, Frauenfeld, Pfaffenholzstrasse 4, 8501 
      Frauenfeld, Switzerland. Electronic address: wirth-welle@manoviva.ch.
FAU - Andreisek, Gustav
AU  - Andreisek G
AD  - Department of Radiology, Kantonsspital, Munsterlingen, Spitalcampus 1, 8596 
      Munsterlingen, Switzerland. Electronic address: gustav@andreisek.de.
FAU - Gnannt, Ralph
AU  - Gnannt R
AD  - Paediatric Department of Radiology and Children's Research Centre, University 
      Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 
      Zurich, Switzerland. Electronic address: ralph.gnannt@kispi.uzh.ch.
FAU - Guero, Stephane
AU  - Guero S
AD  - Division of Paediatric Orthopedics, Hopital Necker-Enfants Malades, 149 rue de 
      Sevres, 75015 Paris, France. Electronic address: sguero2@gmail.com.
FAU - Neeser, Hannah R
AU  - Neeser HR
AD  - Division of Paediatric Hand Surgery and Children's Research Centre, University 
      Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 
      Zurich, Switzerland. Electronic address: hannah.neeser@kispi.uzh.ch.
FAU - Seiler, Michelle
AU  - Seiler M
AD  - Paediatric Emergency Department and Children's Research Centre, University 
      Children's Hospital Zurich, University of Zurich, Steinwiesstrasse 75, 8032 
      Zurich, Switzerland. Electronic address: michelle.seiler@kispi.uzh.ch.
LA  - eng
PT  - Journal Article
DEP - 20230624
PL  - France
TA  - Hand Surg Rehabil
JT  - Hand surgery & rehabilitation
JID - 101681801
SB  - IM
MH  - Adolescent
MH  - Humans
MH  - Child
MH  - Retrospective Studies
MH  - *Fractures, Bone/diagnostic imaging/surgery
MH  - *Scaphoid Bone/diagnostic imaging/surgery/injuries
MH  - Wrist
MH  - *Wrist Injuries/diagnosis
MH  - *Joint Dislocations/surgery
MH  - *Hand Injuries
MH  - *Osteoarthritis
OTO - NOTNLM
OT  - Capitate
OT  - Capitatum
OT  - Carpal bone fracture
OT  - Children
OT  - Comminuted fracture
OT  - Enfants
OT  - Fracture comminutive
OT  - Fracture du carpe
OT  - Trapezium
OT  - Triquetrum
EDAT- 2023/06/26 00:41
MHDA- 2023/10/23 00:44
CRDT- 2023/06/25 19:14
PHST- 2023/03/24 00:00 [received]
PHST- 2023/06/13 00:00 [revised]
PHST- 2023/06/13 00:00 [accepted]
PHST- 2023/10/23 00:44 [medline]
PHST- 2023/06/26 00:41 [pubmed]
PHST- 2023/06/25 19:14 [entrez]
AID - S2468-1229(23)00118-4 [pii]
AID - 10.1016/j.hansur.2023.06.009 [doi]
PST - ppublish
SO  - Hand Surg Rehabil. 2023 Oct;42(5):406-412. doi: 10.1016/j.hansur.2023.06.009. 
      Epub 2023 Jun 24.