Scaphoid fracture

Case contributed by Henry Knipe
Diagnosis certain

Presentation

FOOSH.

Patient Data

Age: 35
Gender: Male
x-ray

Minimally displaced fracture through the waist of the scaphoid. Normal carpal alignment.

x-ray

Dedicated scaphoid view shows the fracture line a little better. 

Case Discussion

Scaphoid fractures often occur after a FOOSH. Acute complications include scapholunate ligament rupture, and in high energy trauma they can occur with perilunate dislocations. Chronic complications include non-union (progressing to SNAC wrist) and avascular necrosis. 

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