Alper ÇIRAKLI, Ahmet PİŞKİN, Sevgi ÇIRAKLI, Ali VARLI, Birol GÜLMAN

Pediatric scaphoid nonunion treated with iliac wing bone graft and screw fixation: Two case reports

Scaphoid fractures are rarely seen in the pediatric age group. If the fracture is diagnosed late or appropriate treatment is not applied, it may result in nonunion. Wrist pain and restricted movements in these school age cases lead to problems in the developmental activites of the children. Therefore, with the aim of a speedy return to activity, the two pediatric cases presented here were treated with iliac wing bone graft and screw fixation and the results were successful in conformity with literature. As these fractures are rarely seen, it was aimed to evaluate these cases with the relevant literature.

Keywords:

Nonunion, Pediatric, Scaphoid, Surgical treatment,

PDF

___

Chloros, G.D., Themistocleous, G.S., Wiesler, E.R., 2007. Pediatric scaphoid nonunions. J. Hand. Surg. Am. 32, 172-176.
Christodoulou, A.G., Colton, C.L., 1986. Scaphoid fractures in children. J. Pediatr. Orthop. 6, 37-39.
Fabre, O., De Boeck H., Haentjens, P., 2001. Fractures and nonunions of the carpal scaphoid in children. Acta Orthop. Belg. 67, 121-125.
Hamdi, M.F., Khelifi, A., 2011. Operative management of nonunion scaphoid fracture in children: A case report and literature review. Musculo- skelet Surg. 95, 49-52.
Henderson, B., Letts M., 2003. Operative management of pediatric scaphoid fracture nonunion. J. Pediatr. Orthop. 23, 402-426.
Jeon, I.H., Kochhar, H., Lee B.W., Kim S.Y., Kim, P.T., 2008. Percutaneous screw fixation for scaphoid nonunion in skeletally immature patients: A Report of two cases. J. Hand. Surg. 33, 656-659.
Maxted, M.J., Owen, R., 1982. Two cases of nonunion of carpal scaphoid fractures in children. Injury. 13, 441-443.
Mintzer, C.M., Waters P.M., 1999. Surgical treatment of pediatric scaphoid fracture nonunions. J. Pediatr. Orthop. 19, 236–239.
Onuba, O., Ireland, J., 1983. Two cases of non-union of fractures of the scaphoid in children. Injury. 15, 109-112.
Southcott, R., Rosman, M.A., 1977. Nonunion of carpal scaphoid fractures in children. J. Bone Joint Surg. Br. 59, 20-23.
Toh, S., Miura H., Arai, K., Yasumura, M., Wada, M., Tsubo, K., 2003. Scaphoid fractures in children: problems and treatment. J. Pediatr. Orthop. 23, 216-221.
Journal of Experimental and Clinical Medicine 30 (2013) 261-263