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Case Report

Hand Microsurg. 2012; 1(1): 33-36


Concurrent capitate and hamate fractures in a child: the diagnostic value of magnetic resonance imaging and computed tomography at the rare wrist injury

Gürsel Saka, Necdet Sağlam, Tuhan Kurtulmuş, Fuat Akpınar.




Abstract

Fractures of the carpal bones are quite rare in skeletally immature patients. The diagnosis is difficult in young children since ossification of the carpal bones is not complete, and the majority of them are cartilaginous. Conventional radiography may be inadequate for the diagnosis or may lead to misdiagnosis. Therefore, computed tomography (CT) and magnetic resonance imaging (MRI) are quite important in establishing the diagnosis and planning treatment especially in suspected cases, in which direct radiography is inadequate. We decided on a treatment with the help of CT and MRI for a 7-year-old pediatric case who has simultaneous capitate and hamate fractures which is very rare combination of childhood carpal bone injuries. Consequently, we practised treatments successfully by conservative methods. By presenting this case, we emphasised the diagnosis and treatment of the carpal bone fractures, by CT and MRI at the skeletally immature patients.

Key words: Capitate bone, carpal bones, child, fractures, hamate bone






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