Gunal I, Altay T
Department of Orthopaedics, Dokuz Eylul University Hospital, 35340 Balcova, Izmir, Turkey.
J Bone Joint Surg Br. 2011 Jun;93(6):847-8. doi: 10.1302/0301-620X.93B6.26670.
Avascular necrosis of the scaphoid following a fracture in children is rare and there is no established treatment protocol in the literature. We present two boys with nonunion and avascular necrosis of the scaphoid treated by simple immobilisation. Both cases healed with painless wrists and full movements. Our cases confirm that an ununited scaphoid fracture in children may heal with conservative treatment, even when an MRI scan suggests avascular necrosis. Unlike in adults, operative treatment need only be considered in children when conservative treatment fails.
儿童舟骨骨折后发生缺血性坏死较为罕见，文献中尚无既定的治疗方案。我们报告了两名因舟骨不愈合和缺血性坏死而接受简单固定治疗的男孩。两例均愈合，腕部无痛且活动自如。我们的病例证实，儿童舟骨骨折不愈合即使在MRI扫描提示缺血性坏死时，也可能通过保守治疗愈合。与成人不同，儿童只有在保守治疗失败时才需考虑手术治疗。
