Presentation
Post fall down wrist pain
Patient Data
Age: 35 years
Gender: Male
From the case:
Distal scaphoid fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/103041/annotated_viewer_json?iframe=true\u0026lang=us"}
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
From the case:
Distal scaphoid fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/103042/annotated_viewer_json?iframe=true\u0026lang=us"}
CT study confirms a distal scaphoid pole fracture with surrounding lucency possibly bone marrow contusion
From the case:
Distal scaphoid fracture
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/103043/annotated_viewer_json?iframe=true\u0026lang=us"}
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%.