Carpal fractures in children.

Carpal injuries in children are relatively rare. Diagnosis is likely to be missed, or the severity of the injury might not fully be appreciated at the time of presentation. Fortunately, in the majority of cases the fracture heals uneventfully with a low incidence of complications. As in adults, the scaphoid is most susceptible to injury and the capitate, which often presents in association with other carpal bone injuries, the next most susceptible. Other carpal bone fractures are very unusual and the literature largely is confined to case reports or very small series. This review article lists the common carpal injuries in children and suggests a treatment plan in each case, emphasizing the importance of having a high index of suspicion when faced with a child with a wrist injury and seemingly normal radiographs.