TY - JOUR
T1 - Avulsion fractures of the scaphoid and triquetrum in a 15 year- old male
AU - Yakkanti, Ramakanth R.
AU - Boden, Allison L.
AU - Barrera, Carlos M.
AU - Greif, Dylan N.
AU - Dong, Fajin
AU - Cardoso, Roy
AU - Jose, Jean
N1 - Publisher Copyright:
© 2020 Delhi Orthopedic Association
PY - 2020/7/1
Y1 - 2020/7/1
N2 - Avulsion fractures of the perilunate ligaments occur in isolation, and multiple fractures are typically not seen in the same carpus. We present a case of a 15-year-old male who injured his wrist during football practice. He presented without wrist dislocation or deformity. Radiographs demonstrated avulsion fractures to the proximal pole of the scaphoid and proximal radial aspect of the triquetrum. The patient was immobilized with an upper extremity thumb spica cast; however, there was persistent non-union of both fractured segments. Magnetic resonance imaging confirmed avulsions at the site of the scapholunate and lunotriquetral ligaments, with both ligaments relatively intact. At the last follow-up, one year after the initial injury, the patient had a normal clinical exam, with no pain and full wrist range of motion despite fracture non-union at both locations. This is a unique injury with an unclear mechanism and complicated management.
AB - Avulsion fractures of the perilunate ligaments occur in isolation, and multiple fractures are typically not seen in the same carpus. We present a case of a 15-year-old male who injured his wrist during football practice. He presented without wrist dislocation or deformity. Radiographs demonstrated avulsion fractures to the proximal pole of the scaphoid and proximal radial aspect of the triquetrum. The patient was immobilized with an upper extremity thumb spica cast; however, there was persistent non-union of both fractured segments. Magnetic resonance imaging confirmed avulsions at the site of the scapholunate and lunotriquetral ligaments, with both ligaments relatively intact. At the last follow-up, one year after the initial injury, the patient had a normal clinical exam, with no pain and full wrist range of motion despite fracture non-union at both locations. This is a unique injury with an unclear mechanism and complicated management.
KW - Carpal avulsion fractures
KW - Scaphoid avulsion fracture
KW - Triquetrum avulsion fracture
KW - Wrist pain
UR - http://www.scopus.com/inward/record.url?scp=85082759971&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082759971&partnerID=8YFLogxK
U2 - 10.1016/j.jcot.2020.03.013
DO - 10.1016/j.jcot.2020.03.013
M3 - Article
AN - SCOPUS:85082759971
VL - 11
SP - 678
EP - 681
JO - Journal of Clinical Orthopaedics and Trauma
JF - Journal of Clinical Orthopaedics and Trauma
SN - 0976-5662
IS - 4
ER -