Article

Carpal injuries in children are uncommon. Radiographic diagnosis can be difficult
because of late ossification of carpal bones. Scaphoid fracture occurs in 3% of
hand and wrist fractures. Fractures in the distal third or at the waist are the
most frequent fracture sites. In case of clinical and X-rays presumption, CT-scan
and MRI often diagnose scaphoid fractures. Orthopaedic treatment with closed cast
for 8 weeks, or more for adolescents, gives a high rate of union in non-displaced
or minimally-displaced fractures. Non-union is the most frequent complication.
Closed cast can be the treatment of non-union in absence of humpback or DISI
deformity. Other carpal bone fractures or ligament injuries of the wrist in
children are uncommon and CT-scan, MRI or arthroscopy can be useful in case of
clinical suspicion.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS