Pediatric Scaphoid Fracture Associated with Osteopetrosis: A Case Report

JBJS Case Connect. 2021 Apr 13;11(2). doi: 10.2106/JBJS.CC.20.00935.

Abstract

Case: A 12-year-old boy with osteopetrosis sustained a scaphoid waist fracture, which has not previously been reported with this condition. Healing was successfully achieved with percutaneous cannulated compression screw fixation, albeit with prolonged healing as is typical for this condition.

Conclusion: A lack of osteoclastic remodeling predisposes patients with osteopetrosis to fractures, commonly in long bones. Increased risks of infection, anesthesia, and broken hardware along with limited ability to compress bone may discourage operative management. Internal fixation should still be considered in select cases to limit displacement while allowing early range of motion.

Publication types

  • Case Reports

MeSH terms

  • Bone Screws
  • Child
  • Fracture Fixation, Internal
  • Fracture Healing
  • Fractures, Bone* / complications
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Humans
  • Male
  • Osteopetrosis* / complications
  • Osteopetrosis* / diagnostic imaging
  • Scaphoid Bone* / diagnostic imaging
  • Scaphoid Bone* / surgery