Avascular necrosis - scaphoid non-union

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Trauma with scaphoid fracture 3 months ago.

Patient Data

Age: 35 years
Gender: Male

Non-united fracture of the scaphoid. Abnormal signal of the scaphoid proximal pole with low signal on  T1W and high signal on T2W sequences denotes avascular necrosis of scaphoid.

Minimal joint effusion. Multiple small holes are demonstrated within the other carpal bones suggestive of disuse osteoporosis.

Case Discussion

Fractured scaphoid complicated by non-union and avascular necrosis.

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