Scaphoid fracture

Case contributed by Dr Henry Knipe

Presentation

Fall with wrist pain.

Patient Data

Age: 25 years
Gender: Male
X-ray
On these scaphoid projections, there is subtle linear lucency at the scaphoid waist, concerning for a nondisplaced fracture.
CT

Non-contrast volume acquisition. Undisplaced lateral cortical fracture of the scaphoid waist best seen on the sagittal reformats. No other fracture identified. Alignment within normal limits.

MRI
Undisplaced fracture through the scaphoid waist. Tiny adjacent joint effusion. Scapholunate ligament is intact. No other fracture identified. Alignment within normal limits.

Case Discussion

These images demonstrate what are possible and subtle fractures on x-ray and CT, are clearly fractures on MRI. 

PlayAdd to Share

Case information

rID: 53454
Case created: 18th May 2017
Last edited: 25th Sep 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.