Scaphoid fracture

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Fall on the outstretched hand one week ago and anatomical snuffbox tenderness.

Patient Data

Age: 65 years
Gender: Female
mri

A non-displaced fracture is seen through the scaphoid waist

The proximal pole remains low in signal intensity on the T1-weighted coronal image.

On the fat-suppressed proton density-weighted coronal view, the proximal pole is edematous.

The findings are both suggestive of retained vascularity within the proximal pole.

Chip fracture is seen at the capitate bone distal pole, volar aspect and ulnar side.

TFCC central perforation is seen associated with fluid signal at the distal radioulnar joint.

Subcutaneous edema is also noted at the dorsal and volar aspects of the wrist.

Case Discussion

MRI images demonstrate a scaphoid fracture.

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