Scaphoid bone bruise

Case contributed by Henry Knipe
Diagnosis certain


FOOSH one week earlier. Wrist pain. Normal x-rays.

Patient Data

Age: 15 years
Gender: Male

Bone marrow edema of the distal scaphoid pole extending to the waist with corresponding both T1 signal, however, no cortical disruption. Small radiocarpal joint effusion.

Dorsal band scapholunate ligament sprain. No widening of the scapholunate interval. Dorsal capsular and extrinsic ligamentous sprain.

No TFCC injury. Small effusions and thickening of the extensor compartments 2-4.

Case Discussion

Features of a scaphoid bone bruise and scapholunate ligament sprain. In symptomatic patients, the rate of occult fracture after 8 weeks with an initial MRI showing scaphoid bone bruise was 2% in one series. 

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