GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Scaphoid fracture (MRI)

Case contributed by Manar Alaa El Din osman
Diagnosis almost certain

Presentation

Falling onto the hand.

Patient Data

Age: 35 years
Gender: Male
mri

A fracture line traverses the scaphoid waist with partial collapse at its proximal pole, subchondral tiny cystic lesions, and surrounding altered signal being of bright STIR and low T1/T2 signals indicating likely avascular necrosis of scaphoid.

Case Discussion

Scaphoid fractures usually occur after falling onto the outstretched hand. They affect the waist of the scaphoid more commonly than the distal and proximal poles. Early diagnosis and management can prevent late complications such as avascular necrosis. Cast immobilization is preferred in acute settings for non-displaced fractures. For displaced fractures, surgery is often considered. For patients presenting with avascular necrosis of the scaphoid, surgery is often considered. It is also important to consider age, occupation, medical co-morbidities and smoking status to decide between conservative vs surgical options.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.