@article{ref1,
title="Changing patterns of scaphoid fractures in adolescents",
journal="Canadian journal of surgery",
year="1994",
author="Stanciu, C. and Dumont, A.",
volume="37",
number="3",
pages="214-216",
abstract="OBJECTIVE: To determine if the presentation of scaphoid fractures in children has changed. DESIGN: Case study with a minimum follow-up of 1 year. SETTING: Outpatient orthopedic clinic in an urban pediatric hospital. PATIENTS: Twenty-one adolescents (mean age 13.9 years) with scaphoid fractures and an open distal radial growth plate. Fracture healing was assessed at 2-week intervals until union was achieved. INTERVENTIONS: Immobilization in a short-arm thumb spica cast. MAIN OUTCOME MEASURES: Fracture union as defined by the absence of pain and obliteration of the fracture line. Active and passive range of motion of wrist as measured with a goniometer. RESULTS: Only 2 of the 21 patients had avulsed fractures. Twelve fractures were located in the middle one-third of the scaphoid. All fractures healed, but two fractures were in a dorsiflexed position. All patients had full, painless range of wrist motion. No arthrosis was present. CONCLUSIONS: The presentation of scaphoid fractures in adolescents has changed over the years and now resembles the adult pattern. Malunited scaphoid fractures may be seen. Displaced fractures should be reduced.<p /><p>Language: en</p>",
language="en",
issn="0008-428X",
doi="",
url="http://dx.doi.org/"
}