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Pediatric Scaphoid Proximal Pole Nonunion With Avascular Necrosis.
- Source :
-
The Journal of hand surgery [J Hand Surg Am] 2017 Apr; Vol. 42 (4), pp. 299.e1-299.e4. Date of Electronic Publication: 2016 Dec 24. - Publication Year :
- 2017
-
Abstract
- A 13-year-old, right hand-dominant, otherwise healthy boy presented with left wrist pain 19 months after a nonmotorized scooter injury. Radiographs and magnetic resonance imaging at presentation demonstrated proximal pole scaphoid nonunion with avascular necrosis of the proximal fragment. Operative and nonsurgical treatment options were discussed and the family elected for an attempt at nonsurgical management. The patient was placed in a short-arm thumb spica cast, with a window for a bone stimulator, for 14 weeks. At the conclusion of the treatment, the pain had resolved and x-ray and computed tomography scan demonstrated bony union. The authors recommend considering an initial trial of nonsurgical management for treatment of all pediatric scaphoid nonunions.<br /> (Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Fractures, Ununited diagnostic imaging
Fractures, Ununited etiology
Humans
Male
Orthopedic Procedures
Osteonecrosis diagnostic imaging
Osteonecrosis etiology
Scaphoid Bone diagnostic imaging
Scaphoid Bone pathology
Casts, Surgical
Fractures, Ununited therapy
Osteonecrosis therapy
Scaphoid Bone injuries
Ultrasonic Therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1531-6564
- Volume :
- 42
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- The Journal of hand surgery
- Publication Type :
- Academic Journal
- Accession number :
- 28027846
- Full Text :
- https://doi.org/10.1016/j.jhsa.2016.11.018