The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review
Avascular necrosis (AVN) of the scaphoid in children is very rare and there is currently no consensus when conservative or operative treatment is indicated. A 10-year-old boy, practicing karate, presented with acute pain in his left wrist after falling on the outstretched hand. Imaging showed a scap...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2016/7898090 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558923166515200 |
|---|---|
| author | Baris Beytullah Koc Martijn Schotanus Bob Jong Pieter Tilman |
| author_facet | Baris Beytullah Koc Martijn Schotanus Bob Jong Pieter Tilman |
| author_sort | Baris Beytullah Koc |
| collection | DOAJ |
| description | Avascular necrosis (AVN) of the scaphoid in children is very rare and there is currently no consensus when conservative or operative treatment is indicated. A 10-year-old boy, practicing karate, presented with acute pain in his left wrist after falling on the outstretched hand. Imaging showed a scaphoid waist fracture with signs of an ongoing AVN. The diagnosis of AVN was confirmed with signal loss of the scaphoid on MRI T1. A dynamic contrast-enhanced MRI was performed for further assessment of the proximal pole vascularity and treatment planning. As dynamic contrast-enhanced MRI showed fair perfusion of the proximal pole, an adequate healing potential with conservative treatment was estimated. We achieved union and good function with cast immobilization for fourteen weeks. This case study showed dynamic contrast-enhanced MRI to be a valuable tool in assessing whether conservative or operative treatment is indicated to achieve union and good functional outcome. |
| format | Article |
| id | doaj-art-401231a623b444dfa2c42ab9d32fd0e0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-401231a623b444dfa2c42ab9d32fd0e02025-02-03T01:31:12ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/78980907898090The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature ReviewBaris Beytullah Koc0Martijn Schotanus1Bob Jong2Pieter Tilman3Department of Orthopedic Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, NetherlandsDepartment of Orthopedic Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, NetherlandsDepartment of Radiology, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, NetherlandsDepartment of Orthopedic Surgery, Zuyderland Medical Centre, Dr. H. van der Hoffplein 1, 6162 BG Sittard-Geleen, NetherlandsAvascular necrosis (AVN) of the scaphoid in children is very rare and there is currently no consensus when conservative or operative treatment is indicated. A 10-year-old boy, practicing karate, presented with acute pain in his left wrist after falling on the outstretched hand. Imaging showed a scaphoid waist fracture with signs of an ongoing AVN. The diagnosis of AVN was confirmed with signal loss of the scaphoid on MRI T1. A dynamic contrast-enhanced MRI was performed for further assessment of the proximal pole vascularity and treatment planning. As dynamic contrast-enhanced MRI showed fair perfusion of the proximal pole, an adequate healing potential with conservative treatment was estimated. We achieved union and good function with cast immobilization for fourteen weeks. This case study showed dynamic contrast-enhanced MRI to be a valuable tool in assessing whether conservative or operative treatment is indicated to achieve union and good functional outcome.http://dx.doi.org/10.1155/2016/7898090 |
| spellingShingle | Baris Beytullah Koc Martijn Schotanus Bob Jong Pieter Tilman The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review Case Reports in Orthopedics |
| title | The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review |
| title_full | The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review |
| title_fullStr | The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review |
| title_full_unstemmed | The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review |
| title_short | The Role of Dynamic Contrast-Enhanced MRI in a Child with Sport-Induced Avascular Necrosis of the Scaphoid: A Case Report and Literature Review |
| title_sort | role of dynamic contrast enhanced mri in a child with sport induced avascular necrosis of the scaphoid a case report and literature review |
| url | http://dx.doi.org/10.1155/2016/7898090 |
| work_keys_str_mv | AT barisbeytullahkoc theroleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT martijnschotanus theroleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT bobjong theroleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT pietertilman theroleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT barisbeytullahkoc roleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT martijnschotanus roleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT bobjong roleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview AT pietertilman roleofdynamiccontrastenhancedmriinachildwithsportinducedavascularnecrosisofthescaphoidacasereportandliteraturereview |