Isolated Capitate Fracture Associated With a Traumatic Synovial Cyst: A Pediatric Case Report

Article Sidebar

PDF (Español (España)) PDF_EN HTML (Español (España))
Published: Dec 31, 2022
DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.6.1461
Keywords:
Capitate bone, fracture, synovial cyst

Main Article Content

Isabel Parada Avendaño
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Zaragoza, España
https://orcid.org/0000-0002-5259-4109
Jorge Gil Albarova
Department of Orthopaedic and Traumatology, Miguel Servet University Hospital, Zaragoza, Spain
https://orcid.org/0000-0002-1563-9136

Abstract

Introduction: Isolated capitate fractures, caused by high-energy trauma, are rare in children. They can be missed at the initial assessment of the patient and radiographs only allow the identification of lesions in ossified bones, so complementary tests such as magnetic resonance imaging are necessary to rule out possible associated carpal lesions, especially in children under 10 years old. We present the case of an isolated capitate bone fracture with the appearance of a synovial cyst due to trauma in a pediatric patient, treated by immobilization with a short arm cast for four weeks, with good evolution.
Conclusion: The management of these cases depends on the severity of the injury. In most cases  onservative treatment is enough but early diagnosis allows us to choose the best option and avoid possible complications as nonunion or avascular necrosis.Level of Evidence: IV

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Parada Avendaño, I., & Gil Albarova, J. (2022). Isolated Capitate Fracture Associated With a Traumatic Synovial Cyst: A Pediatric Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(6), 814-818. https://doi.org/10.15417/issn.1852-7434.2022.87.6.1461
Issue
Vol 87 No 6 (2022)
Section
Case Presentations
Copyright (c) 2022 Revista de la Asociación Argentina de Ortopedia y Traumatología

Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.

In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.

It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.

The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.

Author Biographies

Isabel Parada Avendaño, Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Zaragoza, España

Pediatric Orthopedic and Traumatology surgeon at Miguel Servet University Hospital, Zaragoza (Spain)Master of statistics in analysis and design of clinical research. University of Barcelona.

Jorge Gil Albarova, Department of Orthopaedic and Traumatology, Miguel Servet University Hospital, Zaragoza, Spain

Chief of children Orthopedic and Traumatology Surgery at Miguel Servet University Hospital, Zaragoza (Spain)Member of surgery department in the Faculty of Medicine of Zaragoza (Spain)

References

1. Celiktas M, Kose O, Sagiroglu S. Simultaneous fractures of capitate and hamate in a child. Hong Kong J Emerg
Med 2010;17(2):183-5. https://doi.org/10.1177/102490791001700215

2. Goddard N. Carpal fractures in children. Clin Orthop Relat Res 2005;(432):73-6. https://doi/10.1097/01.blo.0000156003.24374.ab

3. Kadar A, Morsy M, Sur YJ, Akdag O, Moran SL. Capitate fractures: A review of 53 patients. J Hand Surg Am
2016;41(10):e359-66. https://doi.org/10.1016/j.jhsa.2016.07.099

4. Colberg RE, Sánchez CF, Lugo-Vicente H. Aspiration and triamcinolone acetonide injection of wrist synovial cysts in children. J Pediatr Surg 2008;43(11):2087-90. https://doi.org/10.1016/j.jpedsurg.2008.04.004

5. Bracken J, Bartlett M. Ganglion cysts in the paediatric wrist: magnetic resonance imaging findings. Pediatr Radiol 2013;43(12):1622-8. https://doi/org/10.1007/s00247-013-2751-9

6. Calif E, Stahl S, Stahl S. Simple wrist ganglia in children: a follow-up study. J Pediatr Orthop B 2005;14(6):448-50.
https://doi.org/10.1097/01202412-200511000-00012

7. Kuniyoshi K, Toh S, Nishikawa S, Kudo S, Ogawa T, Pegoli L. Long-term follow-up of a malunited, isolated
fracture of the capitate in a 6-year-old boy. J Pediatr Orthop B 2005;14(1):46-50. https://doi.org/10.1097/01202412-200501000-00008

8. Ochen Y, Emmink BL, Kootstra TJM, Bosman WM, Wittich P, Keizer J. Nonunion of the capitate due to delayed
diagnosis of an isolated fracture: A case report. JBJS Case Connect 2019;9(4):e0382. https://doi.org/10.2106/JBJS.CC.18.00382

9. Fujioka H, Tanaka J, Tomatsuri M. Scaphoid non-union after simultaneous fractures of the scaphoid and the capitate in a child: a case report. Hand Surg 2006;11(3):151-2. https://doi.org/10.1142/S0218810406003280

10. Bhatnagar G, Crone D, Ahmed H. Paediatric multiple carpal fractures: A case report. Injury Extra 2008;39(7):247-9. https://doi.org/10.1016/j.injury.2008.01.013

11. Obdeijn MC, van der Vlies CH, van Rijn RR. Capitate and hamate fracture in a child: the value of MRI imaging.
Emerg Radiol 2010;17(2):157-9. https://doi.org/10.1007/s10140-009-0815-9

12. Chang AL, Yu HJ, von Borstel D, Nozaki T, Horiuchi S, Terada Y, et al. Advanced imaging techniques of the wrist. AJR Am J Roentgenol 2017;209(3):497-510. https://doi.org/10.2214/AJR.17.18012

13. Bateni CP, Bartolotta RJ, Richardson ML, Mulcahy H, Allan CH. Imaging key wrist ligaments: what the surgeon
needs the radiologist to know. AJR Am J Roentgenol 2013;200(5):1089-95. https://doi.org/10.2214/AJR.12.9738