The subtle scaphoid fracture in childhood: A case report with literature insights

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-06 DOI:10.1016/j.radcr.2024.10.087

Amr Khaled MD , Fathi Milhem MD , Ameer awashra MD , Mazen Abdalla MD , Mohammad M. Jaber MD , Ayman alKhawaja MD

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引用次数: 0

Abstract

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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儿童期隐匿性肩胛骨骨折：病例报告与文献启示

我们描述了一名 9 岁男性在一次行人机动车事故中遭受的线性、非移位性肩胛骨骨折。起初，X 射线成像未能检测到骨折，但核磁共振成像确诊了这一骨折，这凸显了由于该年龄段的骨骼为软骨性质，在识别儿童患者肩胛骨骨折时所面临的挑战。按照儿童非移位骨折的标准治疗方法，患者接受了石膏固定治疗。八周后，患者的疼痛有所改善，并实现了骨结合，恢复了正常活动，没有出现并发症。讨论强调了肩胛骨骨折在10岁以下儿童中的罕见性，并强调了由于参加体育运动，此类损伤在儿童群体中的发生率越来越高。文章还对不同年龄儿童的类似病例进行了比较分析，展示了骨折类型、治疗方法和结果的差异，为儿科肩胛骨骨折的治疗提供了宝贵的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.