A Scaphoid Stress Fracture in a Female Collegiate-Level Shot-Putter and Review of the Literature

Table 1

Clinical characteristics, imaging evaluation, and treatment method for scaphoid stress fractures published in the literature.

Author	Sport	Age (years)/; gender	Laterality	Pain duration	Time to diagnosis after presentation	Imaging presentation	Treatment	Scaphoid fracture location
Manzione and Pizzutillo [2]	Gymnast	16 M	Left	6 weeks	2 weeks	Negative XR; positive bone scan	Thumb spica cast ×10 weeks	Waist
Hanks et al. [3]	Shot-putter	19 M	Right	1.5 years	2 months	Negative initial XR; positive repeat XR at 2 months	Thumb spica cast/splint ×11 weeks	Waist
	Gymnast	18 M	Left	2 years	1 year, 2 weeks	Positive XR; positive bone scan prior to XR	Thumb spica cast ×4 months	Waist
			Right	3 weeks	No delay	Positive bone scan; negative XR	Thumb spica cast ×6 weeks	Waist
	Gymnast	18 M	Left	2 months	No delay	Positive bone scan; negative XR	Thumb spica cast ×6 weeks	Waist
Engel and Feldner-Busztin [4]	Gymnast	18 M	Bilateral	1 year	Not mentioned	Positive bone scan & XR	Not mentioned	Waist
Inagaki and Inoue [9]	Badminton	16 M	Right	7 weeks	No delay	Positive XR	Thumb spica cast ×8 weeks	Waist
Matzkin and Singer [5]	Gymnast	13 F	Right	3 months	3 months	Negative initial XR; positive XR 3 months later	Long arm spica ×8 weeks, short arm thumb spica ×4 weeks	Waist
Brutus and Chahidi [10]	Badminton	23 M	Right	8 weeks	No delay	Positive XR	Thumb spica cast ×8 weeks and then ORIF: Herbert screw & graft	Waist
Hosey et al. [11]	Diver	13 F	Right	2 months	No delay	Positive XR; confirmed on MRI	ORIF: Herbert screw	Waist
Rethnam et al. [12]	Cricketer	38 M	Right	2 years	No delay	Positive XR	ORIF: Herbert screw & graft	Waist
Yamagiwa et al. [6]	Gymnast	18 M	Right	Not mentioned	No delay	Positive MRI; negative XR	Thumb spica cast ×8 weeks and then ORIF: Herbert screw	Waist
Nakamoto et al. [7]	Gymnast	18 M	Right	3 months	No delay	Positive XR; confirmed on MRI	ORIF: Herbert screw	Waist
Pidemunt et al. [13]	Goalkeeper	13 M	Bilateral	2 years	No delay	Positive XR; confirmed on CT	ORIF: graft & Herbert screw	Waist
Mohamed Haflah et al. [14]	Diver	16 M	Bilateral	18 months (right)	1 year (right), no delay (left)	Positive XR R wrist (nonunion); incidental positive XR L wrist	ORIF: headless compression screw & graft	Waist
Saglam et al. [15]	Goalkeeper	19 M	Bilateral	4 years	No delay	Positive XR; confirmed on MRI	Thumb spica cast ×12 weeks	Waist
Kohyama et al. [16]	Tennis	18 M	Right	4 months	No delay	Positive XR; confirmed on CT & MRI	Thumb spica cast/splint ×12 weeks	Waist
Kohring et al. (current report)	Shot-putter	22 F	Right	2 months	No delay	Negative XR; positive MRI	Thumb spica splint ×6 weeks	Waist

Same patient with two different presentations.