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Nonunion of capitate due to late diagnosis in a teenager
Patient: Male, 13 Final Diagnosis: Isolated capitate bone fracture Symptoms: — Medication: — Clinical Procedure: — Specialty: — OBJECTIVE: Unusual clinical course BACKGROUND: Carpal fractures often appear in men under the age of 40 years. Isolated fracture of the capitate without dislocation is very...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986209/ https://www.ncbi.nlm.nih.gov/pubmed/24738016 http://dx.doi.org/10.12659/AJCR.890127 |
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author | Gümüştaş, Seyit Ali Tosun, Haci Bayram Ağır, İsmail Uludağ, Abuzer |
author_facet | Gümüştaş, Seyit Ali Tosun, Haci Bayram Ağır, İsmail Uludağ, Abuzer |
author_sort | Gümüştaş, Seyit Ali |
collection | PubMed |
description | Patient: Male, 13 Final Diagnosis: Isolated capitate bone fracture Symptoms: — Medication: — Clinical Procedure: — Specialty: — OBJECTIVE: Unusual clinical course BACKGROUND: Carpal fractures often appear in men under the age of 40 years. Isolated fracture of the capitate without dislocation is very rare and comprises 1% of all carpal fractures. Nonunion of capitate mostly resulted from delay in diagnosis and lack of initial treatment. CASE REPORT: We reported the case of a 13-year-old boy who had a late-diagnosed capitate fracture. We put the wrist in a short-arm cast for 3 months. After the immobilization with the cast has been finalized, range of motion and strengthening exercises were started. One year after the trauma, we saw total union of the fracture. CONCLUSIONS: Diagnosis of carpal bone fracture may be missed, especially in skeletally immature patients. To prevent late diagnosis in skeletally immature patients, early control radiography should be taken. If further examination is needed, computed tomography should be performed. We can achieve good results with cast immobilization in this age group of patients. As a result, although the author has been advised surgical treatment for nonunion of capitate fracture, conservative treatment should be considered. |
format | Online Article Text |
id | pubmed-3986209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-39862092014-04-15 Nonunion of capitate due to late diagnosis in a teenager Gümüştaş, Seyit Ali Tosun, Haci Bayram Ağır, İsmail Uludağ, Abuzer Am J Case Rep Articles Patient: Male, 13 Final Diagnosis: Isolated capitate bone fracture Symptoms: — Medication: — Clinical Procedure: — Specialty: — OBJECTIVE: Unusual clinical course BACKGROUND: Carpal fractures often appear in men under the age of 40 years. Isolated fracture of the capitate without dislocation is very rare and comprises 1% of all carpal fractures. Nonunion of capitate mostly resulted from delay in diagnosis and lack of initial treatment. CASE REPORT: We reported the case of a 13-year-old boy who had a late-diagnosed capitate fracture. We put the wrist in a short-arm cast for 3 months. After the immobilization with the cast has been finalized, range of motion and strengthening exercises were started. One year after the trauma, we saw total union of the fracture. CONCLUSIONS: Diagnosis of carpal bone fracture may be missed, especially in skeletally immature patients. To prevent late diagnosis in skeletally immature patients, early control radiography should be taken. If further examination is needed, computed tomography should be performed. We can achieve good results with cast immobilization in this age group of patients. As a result, although the author has been advised surgical treatment for nonunion of capitate fracture, conservative treatment should be considered. International Scientific Literature, Inc. 2014-04-04 /pmc/articles/PMC3986209/ /pubmed/24738016 http://dx.doi.org/10.12659/AJCR.890127 Text en © Am J Case Rep, 2014 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License |
spellingShingle | Articles Gümüştaş, Seyit Ali Tosun, Haci Bayram Ağır, İsmail Uludağ, Abuzer Nonunion of capitate due to late diagnosis in a teenager |
title | Nonunion of capitate due to late diagnosis in a teenager |
title_full | Nonunion of capitate due to late diagnosis in a teenager |
title_fullStr | Nonunion of capitate due to late diagnosis in a teenager |
title_full_unstemmed | Nonunion of capitate due to late diagnosis in a teenager |
title_short | Nonunion of capitate due to late diagnosis in a teenager |
title_sort | nonunion of capitate due to late diagnosis in a teenager |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986209/ https://www.ncbi.nlm.nih.gov/pubmed/24738016 http://dx.doi.org/10.12659/AJCR.890127 |
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