{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:37:08Z","timestamp":1790728628772,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:p>Background: Acute wrist trauma with clinical suspicion of a scaphoid fracture, but normal radiographs, is known as a clinical scaphoid fracture. Standard treatment involves immobilization and repeat radiographs in 10 to 14 days. When repeat radiographs are normal but a scaphoid fracture is still clinically suspected, the optimal management in children is unknown. This study retrospectively assessed the management and outcomes of pediatric patients diagnosed with clinical scaphoid fractures. Methods: A retrospective study was performed of all patients over a 2-year period treated for a clinical scaphoid fracture at a tertiary pediatric center. Patients were included if they had clinical signs of a scaphoid fracture and 2 negative x-rays 7 to 14 days apart postinjury. Results: Ninety-one patients with a mean age of 13.2 years (range: 7.8-17.7) were included. Sixteen patients (17.6%) underwent computed tomography (CT) or magnetic resonance imaging (MRI) at a mean time of 10.2 weeks postinjury. Five patients (5.5%) were diagnosed with a scaphoid fracture by x-ray or CT at an average of 4.5 weeks postinjury (range: 3-6). Six patients were diagnosed with other wrist fractures at a mean time postinjury of 3.1 (range: 3-6.5) weeks. Out of 195 total radiographs, the surgeon and radiologist disagreed on 59 (30.2%) images. No patients underwent surgery. Conclusions: Management of clinical scaphoid fractures at our institution was relatively uniform: nearly all patients were immobilized and less than 20% received advanced imaging. Our findings suggest a low but non-zero occult scaphoid fracture rate, discordance in radiologic interpretation, and lack of advanced imaging, providing an avenue for future prospective studies.<\/jats:p>","DOI":"10.1177\/1558944720930293","type":"journal-article","created":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T08:37:34Z","timestamp":1593592654000},"page":"459-464","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Management and Outcomes of Clinical Scaphoid Fractures in Children"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0003-3542","authenticated-orcid":false,"given":"Aneesh","family":"Karir","sequence":"first","affiliation":[{"name":"University of Ottawa, Ontario, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minh N. Q.","family":"Huynh","sequence":"additional","affiliation":[{"name":"University of Ottawa, Ontario, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8180-9770","authenticated-orcid":false,"given":"Sasha","family":"Carsen","sequence":"additional","affiliation":[{"name":"University of Ottawa, Ontario, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Smit","sequence":"additional","affiliation":[{"name":"University of Ottawa, Ontario, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Cheung","sequence":"additional","affiliation":[{"name":"University of Ottawa, Ontario, Canada"},{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,7,1]]},"reference":[{"key":"bibr1-1558944720930293","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000156003.24374.ab"},{"key":"bibr2-1558944720930293","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198601000-00008"},{"key":"bibr3-1558944720930293","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(87)90186-0"},{"key":"bibr4-1558944720930293","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-199707000-00001"},{"key":"bibr5-1558944720930293","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.59B1.321463"},{"issue":"2","key":"bibr6-1558944720930293","first-page":"121","volume":"67","author":"Fabre O","year":"2001","journal-title":"Acta Orthop 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