Scaphoid fracture
Presentation
Fall on hand during football. Swelling of the wrist.
Patient Data
Age: 20
Gender: Male
From the case:
Scaphoid fracture
X-ray
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Frontal
No fracture evident in the scaphoid.
From the case:
Scaphoid fracture
MRI
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Coronal T1
Bone marrow edema in scaphoid, lunate and triquetrum.
Hypointense line in the proximal pole of the scaphoid bone indicative of a fracture.
Well-corticated cyst in the lunate bone is incidentally noted.
Case Discussion
Scaphoid fractures can be notoriously hard to identify on x-ray, if possible at all.
MRI or CT is very useful to identify a fracture of the scaphoid.
MRI will show bone marrow edema on fluid-sensitive sequences and a hypointense line on T1.
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