Bipartite scaphoid

Case contributed by Tom Foster
Diagnosis almost certain

Presentation

Fall onto outstretched hand two weeks previously. Pain and swelling since.

Patient Data

Age: 50 years
Gender: Male
x-ray

Bipartite left scaphoid.

No other acute bony injury.

The bipartite scaphoid is not so clearly demonstrated on the lateral view.

Case Discussion

This patient had fallen recently and reported wrist pain and swelling since. Wrist X-ray demonstrated an incidental finding of a bipartite scaphoid. There is controversy as to whether this finding may be a congenital finding or whether it relates to non-union of a previous fracture. The patient had no previous imaging of his wrist and there was no clear history of earlier trauma.

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