Chronic wrist pain in a goalkeeper; bilateral scaphoid stress fracture: A case report

Abstract

HighlightsWe examine changes in the treatment of scaphoid fractures.In this case, the patient presented with what was considered to be a rare case of a stress fracture of both scaphoid bones secondary to repetitive dorsiflexed movements.It was aimed to present an unusual cause of chronic wrist pain due to the bilateral stress fractures of the scaphoid bone.

A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

“…Importantly, many of the published case reports regarding scaphoid stress fractures have noted a delay in diagnosis with this injury, with the majority of cases being recognized only after the fracture became apparent on plain radiographs [ 2 , 3 , 5 ]. Several case reports obtained bone scans to aid in their diagnosis of a scaphoid stress fracture [ 2 – 4 ], but more recently advanced imaging such as MRI and/or CTs has been utilized to diagnose or confirm scaphoid stress fractures [ 6 , 7 , 11 , 13 , 15 , 16 ]. Several patients with negative presenting radiographs had the fracture only later diagnosed on repeat radiographs or advanced imaging [ 2 , 3 , 6 ].…”

“…For nondisplaced or incomplete fractures, as in this case, nonsurgical treatment with immobilization is usually appropriate. Of the cases described in the literature, nine of the cases were treated nonoperatively [ 2 , 3 , 5 , 9 , 15 , 16 ], two cases were initially treated nonoperatively but their patients had ongoing pain and evidence of nonunion requiring surgical intervention [ 6 , 10 ], and five cases were treated with open reduction and internal fixation [ 7 , 11 – 13 ]. For all patients treated with surgery, either a Herbert screw or a headless compression screw was used with the majority of cases also using bone autograft [ 6 , 7 , 10 – 13 ].…”

Bilateral Scaphoid Fractures: A Systematic Literature Review

“…Specifically, 37.5% of the cases (n = 6) resulted from falls from a height [11][12][13][14]20,23], 6.25% (n = 1) were related to a traffic accident [24], 18.75% (n = 3) were associated with falls onto both outstretched hands [15,16,19], and 12.5% (n = 2) were attributed to sports-related trauma (Table 2) [1,21]. Four patients (n = 4; 25%) did not disclose specific traumatic events; instead, they reported multiple minor traumas occurring repeatedly over time, categorizing these fractures as stress fractures [17,18,22,25]. Among these cases, 18.75% (n = 3) could be characterized as sports-related [17,18,22], while, in 5.88% (n = 1), there was no clarification regarding the patient's engagement in any sports activity [25].…”

“…Four patients (n = 4; 25%) did not disclose specific traumatic events; instead, they reported multiple minor traumas occurring repeatedly over time, categorizing these fractures as stress fractures [17,18,22,25]. Among these cases, 18.75% (n = 3) could be characterized as sports-related [17,18,22], while, in 5.88% (n = 1), there was no clarification regarding the patient's engagement in any sports activity [25].…”

Comparison of Conservative Treatment and Surgery Treatment for Acute Scaphoid Fracture: A Meta‐Analysis of Randomized Controlled Trials

“…The scaphoid bone is one of the eight bones of the wrist and performs the necessary function of retaining the balance of the wrist joint and collaborating in its movement [1][2][3]. The scaphoid fracture is the most frequent fracture of the wrist that affects every 12.4 in 100,000 people [4], accounting for about 90% of wrist fractures and 2-7% of whole physique fractures [5].…”