Scaphoid tubercle fracture

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

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

Patient Data

Age: 12 years
Gender: Female
mri
Sagittal
T1
Coronal
T1
Coronal annotated
T2 fat sat
Axial, annotated
T2 fat sat
Axial
annotated T1
Download
Info

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.

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.