The subtle scaphoid fracture in childhood: A case report with literature insights

We describe a 9-year-old male who suffered a linear, non-displaced scaphoid fracture following a pedestrian motor vehicle accident. Initially, X-ray imaging failed to detect the fracture, but MRI confirmed the diagnosis, highlighting the challenges in identifying scaphoid fractures in pediatric pati...

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Main Authors: Amr Khaled, MD, Fathi Milhem, MD, Ameer awashra, MD, Mazen Abdalla, MD, Mohammad M. Jaber, MD, Ayman alKhawaja, MD
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324011956
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author Amr Khaled, MD
Fathi Milhem, MD
Ameer awashra, MD
Mazen Abdalla, MD
Mohammad M. Jaber, MD
Ayman alKhawaja, MD
author_facet Amr Khaled, MD
Fathi Milhem, MD
Ameer awashra, MD
Mazen Abdalla, MD
Mohammad M. Jaber, MD
Ayman alKhawaja, MD
author_sort Amr Khaled, MD
collection DOAJ
description We describe a 9-year-old male who suffered a linear, non-displaced scaphoid fracture following a pedestrian motor vehicle accident. Initially, X-ray imaging failed to detect the fracture, but MRI confirmed the diagnosis, highlighting the challenges in identifying scaphoid fractures in pediatric patients due to the bone's cartilaginous nature in this age group. The patient was treated with immobilization using a Plaster of Paris cast, consistent with standard management for non-displaced fractures in children. He experienced pain improvement and achieved bone union after eight weeks, returning to normal activities without complications. The discussion emphasizes the rarity of scaphoid fractures in children under 10 and underscores the increasing incidence of such injuries in pediatric populations due to sports participation. A comparative analysis of similar cases in children of different ages is included, demonstrating variations in fracture types, treatment approaches, and outcomes, providing valuableinsights into the management of pediatric scaphoid fractures.
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spelling doaj-art-238f3f2b7764499e935547d9fbb4b4d52025-08-20T02:12:33ZengElsevierRadiology Case Reports1930-04332025-01-0120153553810.1016/j.radcr.2024.10.087The subtle scaphoid fracture in childhood: A case report with literature insightsAmr Khaled, MD0Fathi Milhem, MD1Ameer awashra, MD2Mazen Abdalla, MD3Mohammad M. Jaber, MD4Ayman alKhawaja, MD5Department of Medicine, An-Najah National University, Nablus, PalestineDepartment of Medicine, An-Najah National University, Nablus, PalestineDepartment of Medicine, An-Najah National University, Nablus, PalestineDepartment of Medicine, An-Najah National University, Nablus, Palestine; Department of Orthopedic, An-Najah National University Hospital, Nablus, Palestine; Corresponding author.Department of Medicine, An-Najah National University, Nablus, Palestine; Department of Orthopedic, An-Najah National University Hospital, Nablus, PalestineDepartment of Medicine, An-Najah National University, Nablus, Palestine; Department of Orthopedic, An-Najah National University Hospital, Nablus, PalestineWe describe a 9-year-old male who suffered a linear, non-displaced scaphoid fracture following a pedestrian motor vehicle accident. Initially, X-ray imaging failed to detect the fracture, but MRI confirmed the diagnosis, highlighting the challenges in identifying scaphoid fractures in pediatric patients due to the bone's cartilaginous nature in this age group. The patient was treated with immobilization using a Plaster of Paris cast, consistent with standard management for non-displaced fractures in children. He experienced pain improvement and achieved bone union after eight weeks, returning to normal activities without complications. The discussion emphasizes the rarity of scaphoid fractures in children under 10 and underscores the increasing incidence of such injuries in pediatric populations due to sports participation. A comparative analysis of similar cases in children of different ages is included, demonstrating variations in fracture types, treatment approaches, and outcomes, providing valuableinsights into the management of pediatric scaphoid fractures.http://www.sciencedirect.com/science/article/pii/S1930043324011956Pediatric scaphoid fractureConservative management
spellingShingle Amr Khaled, MD
Fathi Milhem, MD
Ameer awashra, MD
Mazen Abdalla, MD
Mohammad M. Jaber, MD
Ayman alKhawaja, MD
The subtle scaphoid fracture in childhood: A case report with literature insights
Radiology Case Reports
Pediatric scaphoid fracture
Conservative management
title The subtle scaphoid fracture in childhood: A case report with literature insights
title_full The subtle scaphoid fracture in childhood: A case report with literature insights
title_fullStr The subtle scaphoid fracture in childhood: A case report with literature insights
title_full_unstemmed The subtle scaphoid fracture in childhood: A case report with literature insights
title_short The subtle scaphoid fracture in childhood: A case report with literature insights
title_sort subtle scaphoid fracture in childhood a case report with literature insights
topic Pediatric scaphoid fracture
Conservative management
url http://www.sciencedirect.com/science/article/pii/S1930043324011956
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