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 života. Prelomi čunaste kosti su najčešće povrede karpalnih kostiju u ovom periodu života. Petogodišnji dečak je primljen na našu kliniku zbog bola u desnoj ruci i zglobu ručja, kao i zbog masivnog otoka u tom predelu. Kod pacijenta je registrovana ograničena ekstenzija i fl eksija u zglobu ručja, praćena bolom i otokom, ali bez znaka neurovaskularnih povreda. Sprovedeno je snimanje X-zracima i CT. Na CT snimcima su se uočili jasni prelomi glavičaste i kukaste kosti, bez dislokacije.i primenjena je gipsana imobilizacija zgloba ručja. Pri pregledu nakon 18 meseci, prelomi su u potpunosti zarasli bez dislokacija i postignut je potpuni opseg pokreta bez osećaja bola.