Scaphoid fracture with AVN

Case contributed by Paul Heyworth , 20 May 2018
Diagnosis almost certain
Changed by Paul Heyworth, 20 May 2018

Updates to Case Attributes

Status changed from draft to published (public).
Published At was set to .
Body was changed:

Scaphoid Fracture Key Points:

  • Most common carpal bone fractured
  • 10% of scaphoid fractures have an associated fracture of another bone.
  • 70% involve the waist. 10-20% the distal pole and 5-10% the proximal pole.

Avascular Necrosis of the Scaphoid Key Points:

  • Occurs in 15-30% of scaphoid fractures
  • almost always involves the proximal pole
  • Upup to 30% of scaphoid fractures may display increased density of the proximal pole
  • the more proximal the fracture, the higher risk of AVN
  • Thethe radiographic hallmarks of AVN are collapse and fragmentation
  • often reversible
  • may be due to relative ischaemia of the proximal pole
  • -<li>Up to 30% of scaphoid fractures may display increased density of the proximal pole</li>
  • +<li>up to 30% of scaphoid fractures may display increased density of the proximal pole</li>
  • -<li>The radiographic hallmarks of AVN are collapse and fragmentation</li>
  • +<li>the radiographic hallmarks of AVN are collapse and fragmentation</li>

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