Isolated fracture of the capitate without dislocation is very rare and comprises just 1,3 % of all carpal fractures, most commonly after falling on an open hand. Nonunion has been reported as the most common complication. Isolated and nondisplaced capitate fractures are successfully treated with cast immobilization. Here, a case of a 16-year-old boy who had isolated transverse nondisplaced capitate fracture is described. The wrist was placed in a rest position short-arm cast for 8 weeks. After immobilization with the cast had been finalized, range of motion and strengthening exercises began. In general, diagnosis of carpal bone fracture may be missed, especially in skeletally immature and adolescent patients. To prevent late diagnosis in such population, early control radiography should be performed. If further examination is required, computed tomography should be conducted. It is possible to achieve satisfactory results with cast immobilization in this age group. As a result, the authors advise surgical treatment for nonunion of capitate fracture, but conservative treatment should be considered for early period and acute fractures.
Key words: Carpal bone injuries, capitate bone, early treatment, imaging
|
