Presentation
Fell back on extended wrist. Presents with pain, swelling, erythema, snuff box tenderness.
Patient Data
A subtle lucency through the waist of the scaphoid is visible in only one plane. Also noted is an old malunited fracture of 5th metacarpal.
There is a simple oblique fracture with no displacement on the waist of right scaphoid bone . There is perhaps slight density difference between the two poles, the proximal appearing perhaps marginally denser.
There is increase lucency at the site of fracture in keeping with non-union. In addition the proximal pole is notably more sclerotic in keeping with AVN.