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Non union of scaphoid fracture in a cricketer - possibility of a stress fracture: a case report.

Rethnam U, Yesupalan RS, Kumar TM - J Med Case Rep (2007)

Bottom Line: All the cases reported in the literature have been sportspersons.Missing a scaphoid stress fracture could lead to non-union of the scaphoid and early degenerative arthritis of the radio-carpal joint.This can cause chronic wrist pain and can reduce the career span of a sportsperson.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Glan Clwyd Hospital, Rhyl, UK. ulfinr@yahoo.com.

ABSTRACT
Scaphoid stress fractures are rare and can be a cause of wrist pain in sportspersons. All the cases reported in the literature have been sportspersons. Missing a scaphoid stress fracture could lead to non-union of the scaphoid and early degenerative arthritis of the radio-carpal joint. This can cause chronic wrist pain and can reduce the career span of a sportsperson. We report a case of non union of a scaphoid fracture in a cricketer possibly secondary to a stress fracture.

No MeSH data available.


Related in: MedlinePlus

Scaphoid views showing non union of the scaphoid with associated radiocarpal arthritis.
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Figure 1: Scaphoid views showing non union of the scaphoid with associated radiocarpal arthritis.

Mentions: On examination there was minimal swelling over the volar radial aspect of the wrist. He was tender over the radial styloid and the scaphoid. There was also a restriction of volar and dorsiflexion of the wrist due to pain. Radiographs revealed scaphoid fracture non-union and secondary osteoarthritic changes of the distal radius and carpal bones suggesting an old injury [Figure 1]. The wrist was placed in a removable splint for pain relief and the patient followed up. As the wrist already showed evidence of osteoarthritis, no fixation and bone grafting of the scaphoid non-union was done. The patient had mild wrist pain but no restriction of wrist movements at his last follow-up (1 year) although he has not been able to play cricket. He has been kept under regular review to detect and treat worsening arthritis of the wrist.


Non union of scaphoid fracture in a cricketer - possibility of a stress fracture: a case report.

Rethnam U, Yesupalan RS, Kumar TM - J Med Case Rep (2007)

Scaphoid views showing non union of the scaphoid with associated radiocarpal arthritis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC1919381&req=5

Figure 1: Scaphoid views showing non union of the scaphoid with associated radiocarpal arthritis.
Mentions: On examination there was minimal swelling over the volar radial aspect of the wrist. He was tender over the radial styloid and the scaphoid. There was also a restriction of volar and dorsiflexion of the wrist due to pain. Radiographs revealed scaphoid fracture non-union and secondary osteoarthritic changes of the distal radius and carpal bones suggesting an old injury [Figure 1]. The wrist was placed in a removable splint for pain relief and the patient followed up. As the wrist already showed evidence of osteoarthritis, no fixation and bone grafting of the scaphoid non-union was done. The patient had mild wrist pain but no restriction of wrist movements at his last follow-up (1 year) although he has not been able to play cricket. He has been kept under regular review to detect and treat worsening arthritis of the wrist.

Bottom Line: All the cases reported in the literature have been sportspersons.Missing a scaphoid stress fracture could lead to non-union of the scaphoid and early degenerative arthritis of the radio-carpal joint.This can cause chronic wrist pain and can reduce the career span of a sportsperson.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedics, Glan Clwyd Hospital, Rhyl, UK. ulfinr@yahoo.com.

ABSTRACT
Scaphoid stress fractures are rare and can be a cause of wrist pain in sportspersons. All the cases reported in the literature have been sportspersons. Missing a scaphoid stress fracture could lead to non-union of the scaphoid and early degenerative arthritis of the radio-carpal joint. This can cause chronic wrist pain and can reduce the career span of a sportsperson. We report a case of non union of a scaphoid fracture in a cricketer possibly secondary to a stress fracture.

No MeSH data available.


Related in: MedlinePlus