Distal scaphoid fracture

Case contributed by Mohamed Saber
Diagnosis certain

Presentation

Post fall down wrist pain

Patient Data

Age: 35 years
Gender: Male
x-ray
Frontal
Lateral
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Info

A plain radiograph revealed a lucency at the volar aspect of the distal scaphoid bone with suspected underlying fracture best seen on the lateral view

ct
This study is a stack
Coronal
bone window
This study is a stack
Sagittal
bone window
This study is a stack
Axial bone
window
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Info

CT study confirms a distal scaphoid pole fracture with surrounding lucency possibly bone marrow contusion

Annotated image
Lateral
plain x-ray
Coronal
CT
Sagittal
CT
Axial
CT
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Info

Annotated images highlight the findings in plain x-ray (the red arrow) and CT (the yellow arrows)

Case Discussion

I thought that this case should be shared as it is easy to be missed in the practice due to the less common occurrence. Scaphoid fractures commonly occur at the waist (70%-80%) while the distal pole represents 20% and the proximal pole 10%. 

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