Age-dependent changes in pediatric scaphoid fracture pattern on radiographs



To systematically investigate age-dependent changes in scaphoid fracture prevalence and fracture patterns on radiographs in children under 15 years of age.

Methods and Materials

This retrospective study included children with scaphoid fractures, who underwent radiographic examinations between May 1, 2009, and August 31, 2019. Blinded to outcome, all radiographs were reviewed to determine fracture visibility on initial radiographs; to characterize fracture location (distal corner, distal, mid, and proximal body) and orientation (horizontal oblique, transverse, and vertical oblique); and to identify the presence or absence of gap, displacement, and concomitant fractures. Demographic information and information on weight and height were collected. Mann-Whitney U, Kruskal-Wallis rank sum, chi-square, and post hoc tests were used to investigate associations between age, fracture characteristics, and BMI percentile.


The study included 180 children (134 boys and 46 girls; 12.3 ± 1.4 years) with 59 (33%) distal corner, 42 (23%) distal, 76 (42%) mid, and 3 (2%) proximal body fractures. Younger children were more likely to present with distal corner and distal body fractures while older children with mid and proximal body fractures (p = 0.035). No association was found between age and fracture visibility (p = 0.246), fracture orientation (p = 0.752), presence of gap (p = 0.130), displacement (p = 0.403), or concomitant fractures (p = 0.588). Younger children with scaphoid fractures were more likely to be obese (n = 117; p = 0.038).


Scaphoid fractures of the distal corner and distal body were significantly more common in younger children, who are more likely to be obese.

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Corresponding author

Correspondence to Jie C. Nguyen.

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Conflict of interest

JCN and AA receive research grant support from the Radiology Society of North America (RSNA) and the Children’s Cancer Research Fund (CCRF), unrelated to this project.

MKN - None

AG - None

AS - None

ZRM - None

BC - None

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Nguyen, J.C., Nguyen, M.K., Arkader, A. et al. Age-dependent changes in pediatric scaphoid fracture pattern on radiographs. Skeletal Radiol (2020).

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  • BMI
  • Carpal fracture
  • Children
  • Fracture
  • Radiographs
  • Scaphoid