[Surgical treatment of a complex adolescent carpal fracture : A rare injury to the growing skeleton]

Unfallchirurg. 2017 Mar;120(3):252-256. doi: 10.1007/s00113-016-0259-0.
[Article in German]

Abstract

We report the case of a 15-year-old boy with combined fractures of the scaphoid, capitate, and hamate that represents a rare variation of the well-known Fenton's syndrome. Fixation was performed for the unstable fractures of the scaphoid and capitate with the use of cannulated Herbert screws and K‑wires respectively. K‑wires were removed after 6 months, with subsequent physiotherapy. After 6 months, CT confirmed complete consolidation of the two surgically treated carpal fractures and the conservatively treated fracture of the hamate. Regarding function, the patient is able to incorporate the hand into his school-related activities and has a good range of motion, with strong closure of the fist.

Keywords: Capitate fracture; Fenton’s syndrome; Hamate fracture; Hand surgery; Scaphoid fracture.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Carpal Bones / diagnostic imaging
  • Carpal Bones / injuries*
  • Carpal Bones / surgery
  • Diagnosis, Differential
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fracture Fixation, Internal / rehabilitation
  • Fracture Healing
  • Fractures, Multiple / diagnostic imaging*
  • Fractures, Multiple / therapy*
  • Humans
  • Male
  • Rare Diseases / diagnostic imaging
  • Rare Diseases / therapy
  • Recovery of Function
  • Treatment Outcome
  • Wrist Injuries / diagnostic imaging*
  • Wrist Injuries / therapy*