Avascular necrosis - scaphoid non-union

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Trauma with scaphoid fracture 6 months ago.

Patient Data

Age: 25 years
Gender: Male
This study is a stack
Axial
T1
This study is a stack
Axial PD
fat sat
This study is a stack
Sagittal
PD fat sat
This study is a stack
Sagittal
T1
This study is a stack
Coronal PD
fat sat
This study is a stack
Coronal
T1
This study is a stack
Coronal
T2
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Info
  • fracture line through the scaphoid waist with volar subluxation of the distal scaphoid fragment results in a secondary humpback type deformity
  • abnormal signal of the scaphoid proximal pole with a low signal on the T1W sequence denotes avascular necrosis of the scaphoid
  • degenerative cystic changes along with scaphoid proximal and distal poles

Case Discussion

Chronic scaphoid waist fracture with humpback deformity and proximal pole avascular necrosis.

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