Scaphoid tubercle fracture - MRI findings

Case contributed by Dr Chris O'Donnell

Presentation

Fall on outstretched 4 weeks ago, with pain in the anatomical snuff box despite immobilization in plaster. Negative radiograph.

Patient Data

Age: 12
Gender: Female
Modality: MRI

Bone marrow oedema in the distal scaphoid with a fracture line on T1 imaging through the base of the tubercle

Case Discussion

Fractures of the tubercle are much less common and carry less of a potential risk of non-union and avascular necrosis consistent with fractures through the waist. MRI is a very sensitive test for such fractures and will be abnormal almost immediately following injury.

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Case Information

rID: 32886
Case created: 19th Dec 2014
Last edited: 21st Nov 2015
Inclusion in quiz mode: Included

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