Scaphoid fracture with early avascular necrosis

Case contributed by Dr Andrew Dixon


Six weeks following wrist trauma.

Patient Data

Age: 30 years
Gender: Male

Early avascular necrosis suggested by subtle sclerosis of the proximal scaphoid pole 6 weeks following fracture through the scaphoid waist.

Case Discussion

CT wrist shows an un-united fracture through the waist of the scaphoid. There is subtle sclerosis of the proximal scaphoid pole relative to the distal pole suggesting early avascular necrosis (AVN) as a complication of the fracture. AVN is an indication for surgical management of the fracture to help prevent future dysfunction.

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