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

Keywords: Capitate bone, fracture, synovial cyst

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

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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)

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Published
2022-12-31
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
Section
Case Presentations