Fracture of an aberrant os styloideum: a unique case report.

Autor: Kunc V; Clinic of Trauma Surgery, Masaryk Hospital, Socialni pece 3316/12A, 400 111, Usti nad Labem, Czech Republic. vjpkunc@gmail.com.; Department of Anatomy, Second Faculty of Medicine, Charles University, Prague, Czech Republic. vjpkunc@gmail.com.; Research Centre, Faculty of Health Studies, Jan Evangelista Purkyne University in Usti nad Labem, Ústí nad Labem, Czech Republic. vjpkunc@gmail.com., Shrestha S; Orthopaedic and Hand Surgery Unit, National Trauma Center & National Academy of Medical Sciences, Kathmandu, Nepal., Benes M; Department of Anatomy, Second Faculty of Medicine, Charles University, Prague, Czech Republic.
Jazyk: angličtina
Zdroj: Skeletal radiology [Skeletal Radiol] 2024 Jun; Vol. 53 (6), pp. 1205-1209. Date of Electronic Publication: 2023 Oct 31.
DOI: 10.1007/s00256-023-04494-2
Abstrakt: Several accessory bones can be found around the wrist, which may pose a diagnostic challenge. Hereby, we report a unique case of a traumatic fracture of an aberrant os styloideum in a 66-year-old male. The patient presented with a swollen dominant right hand and a hematoma on its anterior and posterior aspects, as a result of a fall on an outstretched hand. The diagnosis was based on a CT scan, which showed a fractured accessory bone between the distal portion of the capitate bone and the base of the third metacarpus. Due to its typical location, the ossicle was identified as os styloideum. The patient was treated conservatively and the symptoms subsided on a short forearm cast after 2 weeks. At a 12-month follow-up, no other episodes were declared. Strong anatomical knowledge and sharing of such cases is essential for proper diagnosis and treatment of this very rare condition.
(© 2023. The Author(s), under exclusive licence to International Skeletal Society (ISS).)
Databáze: MEDLINE