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Srpski arhiv za celokupno lekarstvo 2014 Volume 142, Issue 7-8, Pages: 444-449
https://doi.org/10.2298/SARH1408444G
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Scaphoid fractures in children

Gajdobranski Đorđe (Medical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Živanović Dragoljub ORCID iD icon (Medical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, Niš)
Mikov Aleksandra ORCID iD icon (Medical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Slavković Anđelka (Medical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, Niš)
Marić Dušan (Medical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Marjanović Zoran ORCID iD icon (Medical Faculty, Niš + Clinical Center, Clinic of Pediatric Surgery and Orthopedic, Niš)
Milankov Vukadin ORCID iD icon (Medical Faculty, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)

Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed fracture healing various types of treatment are available. Objective. To determine the mechanism of injury, clinical healing process, types and outcome of treatment of scaphoid fractures in children. Methods. We retrospectively analyzed patients with traumatic closed fracture of the scaphoid bone over a ten-year period (2002-2011). The outcome of the treatment of “acute” scaphoid fracture was evaluated using the Mayo Wrist Score. Results. There were in total 34 patients, of mean age 13.8 years, with traumatic closed fracture of the scaphoid bone, whose bone growth was not finished yet. Most common injury mechanism was fall on outstretched arm - 76% of patients. During the examined period 31 children with “acute” fracture underwent conservative treatment, with average immobilization period of 51 days. Six patients were lost to follow-up. In the remaining 25 patients, after completed rehabilitation, functional results determined by the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of “acute” scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.

Keywords: scaphoid, fracture, treatment, children