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Bilateral stress fracture of the scaphoid

A case report

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  • 15 Citations

Summary

Bilateral stress fractures of the scaphoid bones in a gymnast are reported and discussed with special consideration of the possible differential diagnoses, bipartite scaphoid and pseudarthrosis of the scaphoid bone. The relevance of the mechanical factors involved and the abduction and dorsiflexion of the wirst in gymnastics are suggested as likely pathomechanisms.

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References

  1. 1.

    Blickenstaff LD, Morris JM (1966) Fatigue fracture of the femoral neck. J Bone Joint Surg [Am] 48:1031–1047

  2. 2.

    Böhler J, Ender HG (1986) Die Pseudoarthrose des Scaphoids. Orthopäde 15:109–120

  3. 3.

    Canet L, Laval-Jeantet M (1966) Une fracture de “fatigue” bilatérale des pérones. Etude clinique et histologie. Rheumatologie 18:143–150

  4. 4.

    Cotta H (1961) Ein Beitrag zur Differentialdiagnose Navicular-pseudarthrose — Os naviculare bipartitum carpi. Arch Orthop Unfall Chir 52:581

  5. 5.

    Darby RE (1967) Stress fractures of the os calcis. JAMA 200:1183–1184

  6. 6.

    Dietzel F, Schirmer HF (1972) Doppelseitige Ermüdungsfrak-tur der ersten Rippe. Entstehung der typischen Belastung. Fortsch Geb Röntgenstr Nuclearmed 117:228–229

  7. 7.

    Dueben W, Putzki H, Dueben G (1984) Beidseitige Ermüdungsfraktur der Tibia. Unfallheilkunde 87:354–356

  8. 8.

    Freiberger RH, Mayer V (1964) Ununited bilateral fatigue fractures of the first rib. J Bone Joint Surg [Am] 46:615–618

  9. 9.

    Griffiths AL (1952) Fatigue fracture of the fibula in childhood. Arch Dis Child 27:552–557

  10. 10.

    Gruber W (1877) Os naviculare carpi bipartitum. Arch Pathol Anat 69:39

  11. 11.

    Hallel T, Amit S, Segal D (1976) Fatigue fractures of tibial and femoral shaft in soldiers. Clin Orthop 118:35–43

  12. 12.

    Hullinger CW (1944) Insufficiency fracture of the calcaneus. J Bone Joint Surg [Am] 26:751–757

  13. 13.

    Jenkins SA (1952) Spontaneous fractures of both first ribs. J Bone Joint Surg [Br] 34:9–13

  14. 14.

    Koelbel R, Lange S (1973) Ermüdungsbruch beider Wadenbeine im distalen Drittel. Monatschr Unfallheilkd 76:79–82

  15. 15.

    Laarmann A (1977) Berufskrankheiten nach mechanischen Einwirkungen, 2nd edn. Enke, Stuttgart, pp 55–57, 73–75

  16. 16.

    Manzione M, Pizzutillo PD (1981) Stress facture of the scaphoid waist. A case report. Am J Sports Med 9(4):268–269

  17. 17.

    Nael JF, Bonnet JG (1982) Fracture de fatigue de deux cols femoraux chez une femme de 19 ans. A propos d'un cas. J Chir 119:341–343

  18. 18.

    Pokrowski SA (1935) Os naviculare carpi bipartitum bilaterale. Arch Orthop Unfall Chir 35:313

  19. 19.

    Riester JN, Baker BE, Mosher JF, Lowe D (1985) A review of scaphoid fracture healing in competitive athletes. Am J Sports Med 13(3):159–161

  20. 20.

    Schmidt H (1983) Frakturen einschliesslich „Ermüdungsfrakturen”. In: Orthopädie im Sport. Barth, Leizpig, pp 93–96 (Sportmedizinische Schriftenreihe 8)

  21. 21.

    Sherwin JM, Nagel DA, Southwick WO (1971) Bipartite carpal navicular and the diagnostic problem of bone partition: a case report. J Trauma 11:440

  22. 22.

    Shively R, Sundaram M (1985) Ununited fractures of the scaphoid in boxers. Am J Sports Med 8(3):159–161

  23. 23.

    Siemens W (1942) Doppelseitiger Ermüdungsbruch beim Kleinkind. Zentralbl Chir 69:1809

  24. 24.

    Steen M, Bugyi I (1986) Beidseitiges Os scaphoideum bipartitum. Ein Fallbereicht. Unfallchirurgie 89:361–364

  25. 25.

    Tolot F, Robillard E (1967) Fracture spontanée et bilatérale de la base du 5e metatarsien. Arch Mal Prof 28:478

  26. 26.

    Weber ER, Chao EY (1978) An experimental approarch to the mechanism of scaphoid waist fractures. J Hand Surg 3:142–148

  27. 27.

    Wolff R (1903) Ist das Os naviculare bipartitum und tripartitum Grubers das Produkt einer Fraktur? Dtsch Z Chir 70:254

  28. 28.

    Zweymüller K (1974) Zur Problematik der Ermüdungsfraktur. Arch Orthop Unfall Chir 80:95–106

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Correspondence to Dr. A. Engel.

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Engel, A., Feldner-Busztin, H. Bilateral stress fracture of the scaphoid. Arch Orthop Trauma Surg 110, 314–315 (1991). https://doi.org/10.1007/BF00443466

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Keywords

  • Public Health
  • Differential Diagnosis
  • Stress Fracture
  • Special Consideration
  • Mechanical Factor