Avascular necrosis of the scaphoid in children treated by splint immobilisation: a report of two cases.
نویسندگان
چکیده
Avascular necrosis of the scaphoid following a fracture in children is rare and there is no established treatment protocol in the literature. We present two boys with nonunion and avascular necrosis of the scaphoid treated by simple immobilisation. Both cases healed with painless wrists and full movements. Our cases confirm that an ununited scaphoid fracture in children may heal with conservative treatment, even when an MRI scan suggests avascular necrosis. Unlike in adults, operative treatment need only be considered in children when conservative treatment fails.
منابع مشابه
The comparison of results for the bone grafting in treatment of scaphoid non:union: with and without avascular necrosis
Abstract Background: The varieties of treatment methods for the scaphoid non:::union::: have always been a discussable issue for orthopaedic surgeons. The current study, considered to be review for treatment results of the patients who sustained the scaphoid non:::union::: with or without avascular necrosis and compared these two groups clinically and radiologically. Methods: The clinical and ...
متن کاملAvascular Necrosis of the Scaphoid Preiser Disease
No consensus regarding optimal treatment or etiology of Preiser disease exists. We described the epidemiology,classification and treatment characteristics of 18 patients with Preiser disease. Patients with changes related to previoustrauma, and without radiographs were excluded. Based on the radiographs at diagnosis, we classified 13 scaphoids asHerbert Lanzetta stage II, four...
متن کاملIdiopathic avascular necrosis of the scaphoid.
Idiopathic avascular necrosis of the scaphoid is a rare condition. A review of the literature shows a variety of conditions labelled as spontaneous avascular necrosis or Preiser's disease. In this paper we report on a study of eight patients with idiopathic avascular necrosis affecting only the proximal pole of the scaphoid. Seven of these patients had positive ulnar variance. The possible aeti...
متن کاملMedium-term outcome of closed radial wedge osteotomy of the distal radius for Preiser disease with concomitant Kienböck disease
RATIONALE Idiopathic avascular necrosis of the scaphoid or lunate bone are known as Preiser disease and Kienböck disease, respectively. Although there are reports of avascular necrosis involving more than one carpal bone, concurrent idiopathic avascular necrosis of the scaphoid and lunate bones is rare, with only five cases reported in the English literature (including the two herein). Although...
متن کاملThe Results of Scaphoid Avascular Necrosis Can Be More Than Just Wrist Pain in Patients with Spinal Cord Injury
A 30-year-old man with a complete L2 level of spinal cord injury (SCI) was seen due to right wrist pain. Medical history revealed a scaphoid fracture due to fall 6 months ago. Although surgical fixation was recommended in that period, the patient had refused surgery and static hand-wrist splint was recommended. The patient also stated that the pain worsened progressively over months. He could n...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 93 6 شماره
صفحات -
تاریخ انتشار 2011