RESUMO
OBJECTIVE: The aim of this study is to assess the applicability of standard adult carpal angle measurements, specifically the scapholunate and capitolunate angles, in the assessment of the pediatric wrist. MATERIALS AND METHODS: The study cohort comprised male and female children who underwent a wrist radiograph for the evaluation of suspected wrist injuries following trauma. A gender- and indication-matched adult cohort was also assessed. To ensure an accurate carpal angle measurement, only individuals with a sufficiently ossified carpus and an adequately positioned lateral wrist radiograph were included. RESULTS: Carpal angle measurements were performed on the lateral wrist radiographs of 256 individuals between the ages of 5 and 17 years (mean 11.2 years, SD ± 2.5 years) and 256 individuals between the ages of 18 and 40 years (mean 28.8 years, SD ± 6.2 years). The mean pediatric scapholunate angle was 47° (SD ± 8) and the mean pediatric capitolunate angle was 11° (SD ± 7). The mean adult scapholunate and capitolunate angles were 48° (SD ± 8°) and 10° (SD ± 6°) respectively. No statistically significant difference was observed between the scapholunate or capitolunate angle measurements in the two groups (p = 0.26 and p = 0.36). CONCLUSION: The study data supports the applicability of standard adult carpal angle values to the pediatric population provided the carpus is sufficiently ossified.
Assuntos
Articulações do Carpo/diagnóstico por imagem , Traumatismos do Punho/diagnóstico por imagem , Adolescente , Adulto , Capitato/diagnóstico por imagem , Ossos do Carpo , Articulações do Carpo/anatomia & histologia , Criança , Pré-Escolar , Feminino , Humanos , Instabilidade Articular , Osso Semilunar/diagnóstico por imagem , Masculino , Radiografia , Estudos Retrospectivos , Osso Escafoide/diagnóstico por imagem , Articulação do Punho/diagnóstico por imagem , Adulto JovemRESUMO
Palmaris profundus is a rare anatomical anomaly that may complicate carpal tunnel release. We discuss a recent case of carpal tunnel syndrome and its surgical release, whilst reviewing the published anatomical and surgical literature.
RESUMO
Impalement injuries of the oral cavity are common in children and the potential for serious complications including internal carotid artery thrombosis can be unnoticed. We present a patient who sustained a penetrating injury in which a "tin whistle" caused herniation of the parotid gland which was not detected on clinical examination. We discuss the challenging clinical examination, the role of investigations, and consequences of these injuries aiming at increasing awareness and optimizing patient management.