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REVIEW  PEDIATRIC UPPER LIMB FRACTURE 

Minerva Orthopedics 2021 February;72(1):77-83

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Carpal fractures in children

Nunzio CATENA , Chiara ARRIGONI, Carlo ORIGO

Unit of Pediatric Orthopedics and Traumatology, SS. Antonio e Biagio e Cesare Arrigo Hospital, Alessandria, Italy


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INTRODUCTION: Carpal fractures are relatively rare among skeletal injuries in developmental age; it is not uncommon for the injury to be initially undiagnosed due to the paucity of symptoms or the difficulty to identify the fracture on the first X-rays. The aim of this review article was to summarize the medical literature regarding the rate of injury of carpal bones and the most adopted therapeutic approaches both for primary treatment and for complications.
EVIDENCE ACQUISITION: According to PRISMA guidelines, the authors performed a review of literature consulting PubMed, Scopus, Cochrane Library and Web of Science in order to identify relevant studies. Out of 373 articles were identified, 67 met the inclusion criteria.
EVIDENCE SYNTHESIS: Considering acute fractures, scaphoid is the most commonly affected bone, followed by capitate and triquetrum. The majority of injuries heal with immobilization but there are a group of scaphoid fractures in adolescents which take an advantage from surgical approach. Regarding non unions, the scaphoid can be considered as the only affected.
CONCLUSIONS: In conclusion, despite their relative rarity, carpal injuries also happen in developmental age. Pediatric orthopedic surgeons must increase their awareness of the need to look for clinical signs of carpal injuries in any wrist trauma.


KEY WORDS: Fractures, bone; Pediatric; Wrist injuries

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