Fractures of the hamatum and capitatum in a child: A case report

Abstract

Fractures of the carpal bones are rarely seen in children, particularly in the fi rst decade of life. Scaphoid fractures are the most common carpal bone injuries seen during this period of life. A 5-year-old boy was referred to our clinic with right hand and wrist pain and massive swelling. The patient showed limited wrist extension and fl exion with pain and swelling, but there was no neurovascular damage. Conventional X-ray and CT scans were performed. The CT results in particular showed clear non-displaced capitatum and ha-matum fractures, and a short arm cast was applied. At the 18-month follow-up visit, the patient’s fractures were healed with no displacement, and full ROM was achieved with a pain-free motion.Prelomi karpalnih kostiju su retki kod dece, posebno u prvoj deceniji ?ivota. Prelomi ?unaste kosti su naj?eš?e povrede karpalnih kostiju u ovom periodu ?ivota. Petogodišnji de?ak je primljen na našu kliniku zbog bola u desnoj ruci i zglobu ru?ja, kao i zbog masivnog otoka u tom predelu. Kod pacijenta je registrovana ograni?ena ekstenzija i fl eksija u zglobu ru?ja, pra?ena bolom i otokom, ali bez znaka neurovaskularnih povreda. Sprovedeno je snimanje X-zracima i CT. Na CT snimcima su se uo?ili jasni prelomi glavi?aste i kukaste kosti, bez dislokacije.i primenjena je gipsana imobilizacija zgloba ru?ja. Pri pregledu nakon 18 meseci, prelomi su u potpunosti zarasli bez dislokacija i postignut je potpuni opseg pokreta bez ose?aja bola.