Fractures of the capitate bone are the second most common injury to a child's wrist but are rarely encountered in isolation. This is reflected in the paucity of described cases in the literature. Their true incidence is unknown as they often do not appear on plain radiographs and may heal without immobilisation. The easiest way to detect these fractures is with an MRI scan. The authors present a rare case of isolated capitate fracture that was initially missed on plain films. This case is important as it highlights the need for a high index of suspicion in paediatric patients with unresolving wrist pain.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5887053 | PMC |
| http://dx.doi.org/10.1016/j.tcr.2017.10.004 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Radiocarpal Fracture Dislocation: Minimally Invasive Treatment Assisted by Arthoscopic - Case Report.
Rev Bras Ortop (Sao Paulo)
November 2024
Departamento de Cirurgia Plástica, Universita Degli Studi Di Milano, Milão, Itália.
To measure the life quality, clinical-functional outcomes of a patient who had undergone acute reconstruction of radio scapho capitate (RSC), radio lunate (RLL) ligaments, using brachiorradialis tendon in treatment of radiocarpal fracture dislocation. 21-years-old, man with radiocarpal fracture dislocation in his left wrist, after motorcycle accident. Percutaneous screw fixation of the distal radius and acute reconstruction of the RSC and RLL was performed, assisted by arthroscopy.
View Article and Find Full Text PDFHarDNet-based deep learning model for osteoporosis screening and bone mineral density inference from hand radiographs.
Bone
January 2025
Master of Science Degree Program in Innovation for Smart Medicine, Chang Gung University, Taoyuan, Taiwan; Division of Rheumatology, Allergy and Immunology, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; Center for Artificial Intelligence in Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan, Taiwan. Electronic address:
Purpose: Osteoporosis, affecting over 200 million individuals, often remains unrecognized and untreated, increasing the risk of fractures in older adults. Osteoporosis is typically diagnosed with bone mineral density (BMD) measured by dual-energy X-ray absorptiometry (DXA). This study aims to develop DeepDXA-Hand, a deep learning model using the efficient CNN-based deep learning architecture, for opportunistic osteoporosis screening from hand radiographs.
View Article and Find Full Text PDFClinical efficacy of Ni-Ti memory alloy four-corner arthrodesis concentrator in the treatment of scaphoid nonunion advanced collapse: a follow-up of over 10 years.
J Plast Surg Hand Surg
August 2024
Department of Orthopedics, 920th Hospital of the Joint Logistics Support Force of the Chinese People's Liberation Army, Kunming, P. R. China.
Article Synopsis
- The study investigates the effectiveness of the Ni-Ti shape memory alloy four-corner arthrodesis concentrator (NT-FCAC) for treating scaphoid nonunion advanced collapse (SNAC) with a decade-long follow-up.
- Twenty-six patients underwent surgery involving scaphoidectomy and arthrodesis, showing significant improvements in grip strength, wrist mobility, and reduced pain levels postoperatively.
- Over a 10-15 year follow-up, all patients achieved wrist bone fusion with no severe complications, although no significant changes in pain and functionality were observed after 60 months.
Long-term outcomes after capitate fractures: a median 16-year follow-up.
Arch Orthop Trauma Surg
August 2024
Department of Hand Surgery, Institute of Translational Medicine, Skåne University Hospital Malmö and Lund University, Jan Waldenströms gata 5, Malmö, 205 02, Sweden.
Article Synopsis
- - The study aimed to evaluate the long-term clinical and radiological outcomes of capitate fractures, with a cohort of 23 patients identified from a larger group suffering wrist pain, and a follow-up conducted after an average of 16 years.
- - Out of the 16 eligible patients, the majority had healed capitate fractures with one case showing signs of osteoarthritis, although it did not cause any symptoms; none showed signs of avascular necrosis.
- - Functional assessments revealed minimal impairments, with patients reporting good hand function, normal wrist movement, and strength, indicating a low risk of developing posttraumatic arthritis in the surrounding joints.
Lunate-capitate arthrodesis for scaphoid nonunion: a comparative study.
BMC Musculoskelet Disord
August 2024
Orthopedic Surgery Department, Mansoura University, Algomhoria Street, Mansoura, 33516, Dakahlia, Egypt.
Article Synopsis
- The study investigates the effectiveness of two surgical procedures (lunate-capitate fusion and four-corner fusion) for treating advanced wrist injuries known as SNAC II and III, focusing on functional and radiological outcomes and complications.
- It includes a retrospective analysis of 65 patients who underwent surgery between 2015 and 2024, with a follow-up of at least two years, and compares the outcomes of the two fusion techniques.
- Results showed that both groups experienced functional improvements post-surgery and had similar average healing times, indicating that both procedures could be effective in addressing SNAC injuries.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!