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Joseph Junewick, MD FACR
over 6 years ago
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Isolated Capitate Fracture

Case Detail

Anatomy: Musculoskeletal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CR
Activities:
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History

5 year old female with wrist pain after fall on playground.


Case Images


Diagnosis

Isolated Capitate Fracture

Findings

CR – Isolated nondisplaced transverse fracture of the capitate.

Discussion

Capitate fractures are exceedingly rare, accounting for only 1-3% of all carpal fractures. Most capitate fractures are associated with additional wrist pathology, such as perilunate injuries and scaphoid fractures; capitate fractures are particularly infrequent as isolated injuries. Because of its anatomic location, the capitate is well-protected, and most isolated capitate fractures have almost no displacement. Capitate fractures typically occur in younger patients, who are more prone to high energy trauma than is the general population.

Reference

Keogh C, Bergin D, Eustace S. The Wrist. Radiology of Skeletal Trauma 3rd Ed (Churchill and Livingstone, 2002).

Contributor

John Quick MD



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