Diagnostisches Vorgehen bei Handwurzelknochenfrakturen im Kindesalter: eine retrospektive Analyse

Abstract

In children with clinical and radiographic carpal fracture, diagnosis is difficult and often unsuccessful at first. Even in discrete clinical complaints, generous cast immobilization is essential and clinical follow up is recommended not later then 14 days. In patients with persistent clinical symptoms, MRI is the imaging method of choice, as it is capable of detecting carpal fractures and even bone bruise lesions with high sensitivity, thereby avoiding unnecessary diagnostic or therapeutic stress for the patients.

Isolated Trapezoid Fracture in Adolescent Goalkeepers: A Scoping Review of the Literature and a Report of Two Cases

“…The scaphoid is the most affected bone, especially after axial load and hyperextension trauma. 32 , 33 On the other hand, trapezoid fractures, although less frequent, can occur with the same mechanism of injury. However, they are more challenging to detect as they may not be evident on routine radiographs, making them prone to being missed at initial assessment.…”

“…Delay in diagnosis is relatively common with a mean delay of around 26 days reported in our review and 17 days reported by Eckart el al. 32 …”

“…The isolated trapezoid fractures in adolescent goalkeepers that we presented are exceptionally rare, being the two first cases described in the literature to our knowledge. 29 , 32 , 39 , 40 , 41 This scarcity of cases limits the available evidence and emphasizes the need for further research to gain a better understanding of these injuries. 4 Early diagnosis is of paramount importance.…”

Early MRI for Pediatric Wrist Injuries—Prospective Case Series of 150 Cases

“…Fig.1(A) Management algorithm for acute post-traumatic suspected carpal injuries (under 16 years) [1][2][3][6][7][8][9][10][11]. (B) Ã Management of symptomatic undisplaced carpal fractures confirmed on MRI.…”