Scaphoid fracture

Case contributed by A.Prof Frank Gaillard

Presentation

Fall of bicycle. Now tender left wrist.

Patient Data

Age: 35 years
Gender: Female
Modality: X-ray

A minimally displaced fracture through the waist of the scaphoid is demonstrated. The scapholunate interval appear perhaps minimally widened. The ulnar styloid demonstrates features of an old non-united fracture.  

There was concern of rotation of the scaphoid on lateral projection, and a CT was obtained. 

Modality: CT

Comminuted anteriorly impacted waist of scaphoid fracture producing a humpback deformity (seen on sagittal images).

Scapholunate relationship is maintained.  Mild widening of the scapholunate joint probably represents stretching, rather than disruption. Old ununited avulsion fractures of the ulnar styloid process. Small fleck of bone within the recess of the distal radioulnar joint.

Modality: X-ray

A headless cannulated dynamic compression screw transfixes left scaphoid. Site of the fracture remains visible, unchanged in alignment since the original examination. There has been some bony remodelling around the fracture site.

Modality: Annotated image

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Case Discussion

This case illustrates a typical scaphoid fracture with operative management to correct for humpback deformity. 

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Case Information

rID: 18269
Case created: 24th Jun 2012
Last edited: 5th Nov 2015
Inclusion in quiz mode: Included

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