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

Saglam F, Gulabi D, Baysal Ö, Bekler Hİ, Tasdemir Z, Elmali N - Int J Surg Case Rep (2014)

Bottom Line: Presentation of case The case presented here is of a bilateral stress fractures of the carpal scaphoid in a 19-year-old male.The patient had been playing as a goalkeeper and presented with a 4-year history of chronic pain in both wrists.Non-surgical treatment is successful for scaphoid fractures in children and for those fractures which are non-displaced, stable, and where there is no damage to other bones or ligaments.In stable fractures, union is achieved within 8-12 weeks.Conclusion Bilateral stress fractures of the scaphoid can be considered for the wrist pain, especially for the patients that had repetitive minor wrist trauma, and in spite of developments in surgical techniques and materials used, treatment by plaster casting should still be considered initially for non-displaced, stable scaphoid stress fractures.

View Article: PubMed Central - PubMed

Affiliation: Dr. Lütfi Kırdar Kartal Training and Research Hospital, Kartal, Istanbul 34890, Turkey. Electronic address: fvzisaglam@hotmail.com.

No MeSH data available.


Related in: MedlinePlus

(a) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Anteroposterior radiography. (b) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Lateral radiography. (c) MRI of left carpal scaphoid stress fracture. (d) MRI of right carpal scaphoid stress fracture.
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fig0005: (a) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Anteroposterior radiography. (b) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Lateral radiography. (c) MRI of left carpal scaphoid stress fracture. (d) MRI of right carpal scaphoid stress fracture.

Mentions: He presented at the orthopaedic polyclinic with complaints of pain in both wrists. The patient did not smoke. In the physical examination, the Watson test was positive in both wrists with sensitivity in both snuff boxes. Anteroposterior (AP), lateral and oblique radiographs were taken of both wrists. From the wrist radiographs, a diagnosis was made of Herbert B2 waist-type fracture in both scaphoids. The diagnosis was confirmed by computerised tomography and Magnetic resonance imaging (MRI) (Fig. 1a–d).


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

Saglam F, Gulabi D, Baysal Ö, Bekler Hİ, Tasdemir Z, Elmali N - Int J Surg Case Rep (2014)

(a) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Anteroposterior radiography. (b) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Lateral radiography. (c) MRI of left carpal scaphoid stress fracture. (d) MRI of right carpal scaphoid stress fracture.
© Copyright Policy - CC BY-NC-SA
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4336392&req=5

fig0005: (a) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Anteroposterior radiography. (b) Radiography of a bilateral stress fracture of the carpal scaphoid in a 19-year-old male; Lateral radiography. (c) MRI of left carpal scaphoid stress fracture. (d) MRI of right carpal scaphoid stress fracture.
Mentions: He presented at the orthopaedic polyclinic with complaints of pain in both wrists. The patient did not smoke. In the physical examination, the Watson test was positive in both wrists with sensitivity in both snuff boxes. Anteroposterior (AP), lateral and oblique radiographs were taken of both wrists. From the wrist radiographs, a diagnosis was made of Herbert B2 waist-type fracture in both scaphoids. The diagnosis was confirmed by computerised tomography and Magnetic resonance imaging (MRI) (Fig. 1a–d).

Bottom Line: Presentation of case The case presented here is of a bilateral stress fractures of the carpal scaphoid in a 19-year-old male.The patient had been playing as a goalkeeper and presented with a 4-year history of chronic pain in both wrists.Non-surgical treatment is successful for scaphoid fractures in children and for those fractures which are non-displaced, stable, and where there is no damage to other bones or ligaments.In stable fractures, union is achieved within 8-12 weeks.Conclusion Bilateral stress fractures of the scaphoid can be considered for the wrist pain, especially for the patients that had repetitive minor wrist trauma, and in spite of developments in surgical techniques and materials used, treatment by plaster casting should still be considered initially for non-displaced, stable scaphoid stress fractures.

View Article: PubMed Central - PubMed

Affiliation: Dr. Lütfi Kırdar Kartal Training and Research Hospital, Kartal, Istanbul 34890, Turkey. Electronic address: fvzisaglam@hotmail.com.

No MeSH data available.


Related in: MedlinePlus