Sclerotic proximal pole of scaphoid post-fracture

Case contributed by Dr Chris O'Donnell

Presentation

Initial X-ray and follow-up for scaphoid fracture.

Patient Data

Age: 65 years
Gender: Female

Transverse fracture through the waist of the scaphoid.

Follow-up X-ray after ~5 weeks: proximal pole of scaphoid notably more radiopaque than distal pole.

Follow-up X-ray after yet another 5 more weeks: proximal pole of scaphoid appears even denser than on previous study.

Case Discussion

Typical transverse fracture through the waist of the scaphoid on the initial x-ray. Progressive "sclerosis" of the proximal scaphoid pole together with signs of fracture healing on follow-up. Note reduction in bone density of all other bones of the wrist due to disuse. This proximal sclerosis does not necessarily mean that avascular necrosis is inevitable.

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Case information

rID: 18054
Published: 4th Jun 2012
Last edited: 23rd Sep 2019
Inclusion in quiz mode: Included

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