Scaphoid bone fracture

Case contributed by Shervin Sharifkashani

Presentation

Left side wrist pain and limitation of motion two weeks after sports activity.

Patient Data

Age: 30 years
Gender: Male
mri

There is a fracture in the waist of scaphoid bone with bone bruise and joint fluid and also a tear in the foveal and styloid attachment of triradiate fibrous cartilage (TFC). Partial tears in the radio-scaphoid-capitate ligament and also radial collateral ligament are seen.

Case Discussion

The case is a 30-year-old male suffering from left side wrist pain two weeks after a sports activity, MRI requested and scaphoid bone fracture detected. A scaphoid bone fracture can lead to avascular necrosis of proximal bone fragment, non-union, and secondary arthrosis and can be easily missed early after trauma and most occult fractures can be detected at two weeks. Plain x-ray scaphoid view, isotope bone scan, and MRI are complementary for fracture evaluation.

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