TY - JOUR
T1 - Capitate Fractures
T2 - A Review of 53 Patients
AU - Kadar, Assaf
AU - Morsy, Mohamed
AU - Sur, Yoo Joon
AU - Akdag, Osman
AU - Moran, Steven L.
N1 - Publisher Copyright:
© 2016 American Society for Surgery of the Hand
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Purpose To describe the demographics, diagnosis, management, and outcomes of capitate fractures in the adult and pediatric population treated in our institution. Methods We performed a retrospective chart and radiographic review of 53 patients with capitate fractures treated in our institution between 2002 and 2015. Patients’ demographic characteristics, mechanism of injury, management including surgery-related data, and outcomes, including complications, were recorded. A radiographic evaluation of the location and pattern of the fracture was performed. Results Capitate fractures were prevalent in young males and older females. Fracture location was variable with 9 different locations; in addition 80% of patients had an associated fracture in the wrist or hand. The most common fracture pattern was the transscaphoid, transcapitate perilunate dislocation. Most diagnoses were made with the aid of advanced imaging. Within this series, there was only 1 case (4%) of fracture nonunion and there were no cases of avascular necrosis of the proximal pole in limited follow-up. Isolated capitate fractures were significantly more common in children. In addition, children had better functional outcomes than adults. Conclusions This series provides updated information on this rare injury. Nonunion of the capitate, which was previously described as the most common complication, was rare in this cohort. Type of study/level of evidence Therapeutic IV.
AB - Purpose To describe the demographics, diagnosis, management, and outcomes of capitate fractures in the adult and pediatric population treated in our institution. Methods We performed a retrospective chart and radiographic review of 53 patients with capitate fractures treated in our institution between 2002 and 2015. Patients’ demographic characteristics, mechanism of injury, management including surgery-related data, and outcomes, including complications, were recorded. A radiographic evaluation of the location and pattern of the fracture was performed. Results Capitate fractures were prevalent in young males and older females. Fracture location was variable with 9 different locations; in addition 80% of patients had an associated fracture in the wrist or hand. The most common fracture pattern was the transscaphoid, transcapitate perilunate dislocation. Most diagnoses were made with the aid of advanced imaging. Within this series, there was only 1 case (4%) of fracture nonunion and there were no cases of avascular necrosis of the proximal pole in limited follow-up. Isolated capitate fractures were significantly more common in children. In addition, children had better functional outcomes than adults. Conclusions This series provides updated information on this rare injury. Nonunion of the capitate, which was previously described as the most common complication, was rare in this cohort. Type of study/level of evidence Therapeutic IV.
KW - Capitate fracture
KW - avascular necrosis
KW - nonunion
KW - perilunate dislocation
KW - scaphocapitate syndrome
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U2 - 10.1016/j.jhsa.2016.07.099
DO - 10.1016/j.jhsa.2016.07.099
M3 - Article
C2 - 27524693
AN - SCOPUS:84981744901
SN - 0363-5023
VL - 41
SP - e359-e366
JO - Journal of Hand Surgery
JF - Journal of Hand Surgery
IS - 10
ER -