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Bilateral Stress Fracture of the Carpal Scaphoid: Report in a Child and Review of the Literature

Pidemunt, Gemma MD, PhD; Torres-Claramunt, Raúl MD; Ginés, Albert MD, PhD; de Zabala, Santiago MD; Cebamanos, Juan MD, PhD

Clinical Journal of Sport Medicine: November 2012 - Volume 22 - Issue 6 - p 511–513
doi: 10.1097/JSM.0b013e3182580e03
Case Report

Abstract: We describe a case of a bilateral stress fracture of the carpal scaphoid in a 13-year-old boy. The patient played as a goalkeeper from the age of 5 years and presented with a 2-year history of intermittent pain in both wrists. Our patient underwent open reduction and bone grafting from the iliac crest in both wrists (6 months apart). He subsequently became asymptomatic and resumed sport activities. This patient presented with what was considered a rare case of a stress fracture of both scaphoid bones secondary to repetitive dorsiflexed movements. The patient denied the presence of acute symptoms after a fall and did not perceive the onset of pain as being related to any trauma to the wrist, particularly while playing soccer. A review of other similar cases previously published is also presented.

Orthopaedic Department, Parc de Salut Mar, Barcelona, Spain.

Corresponding Author: Raúl Torres-Claramunt, MD, Passeig Marítim 25-29, 08003, Barcelona, Spain (rtorresClaramunt@parcdesalutmar.cat).

The authors report no conflicts of interest.

Received November 8, 2011

Accepted March 29, 2012

© 2012 Lippincott Williams & Wilkins, Inc.