Atypical bone infarct of the scaphoid

Case contributed by Dr Roberto Schubert

Presentation

History of hand trauma several years before. Intractable wrist pain.

Patient Data

Age: 60
Gender: Male

Posttraumatic intercarpal osteoarthritis with osteophytosis. Geographic lesion in the scaphoid with central fat signal and peripheral oedema, suggesting a bone infarct.

Case Discussion

Posttraumatic avascular necrosis typically involves the proximal portion of the scaphoid. A bone infarct in the mid-portion is rather unusual.

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Case information

rID: 16909
Case created: 29th Feb 2012
Last edited: 30th Oct 2015
Inclusion in quiz mode: Included

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