Non-united scaphoid fracture with avascular necrosis

Case contributed by Dr Bahman Rasuli

Presentation

Wrist pain and limited movement after falling on outstretched hand 6 months ago.

Patient Data

Age: 15 years
Gender: Male

Fractured scaphoid proximal pole with small-sized exhibiting low T1 signal and bright PD fat sat/T2 signal denoting avascular necrosis.

The proximal and distal poles also show edema with internal cystic changes.

Radioscaphoid ligament tear and ulnocarpal joint effusion also are the other findings.

Case Discussion

Chronic ununited fracture of the scaphoid proximal pole, with advanced avascular necrosis of the proximal pole and cystic change.

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