The scaphoid fracture usually occurs due to falling on an outstretched hand, leading to the wrist joint's hyperextension. The most common site of fracture is the waist which is also associated with an increased risk of avascular necrosis of the proximal pole as the blood supply of the scaphoid traverses from distal to proximal.

This is a case of scaphoid proximal pole avascular necrosis coincidence with kienböck disease.