Scaphoid fracture

Scaphoid fractureCreated OnMay 5, 2020Last Updated OnMay 5, 2020byadmin You are here: Main Radiology Scaphoid fracture < All Topics Table of Contents Scaphoid fracture – Scaphoid series The scaphoid fracture is only visible on 2 of the 4 standard images in this case If a scaphoid fracture is suspected clinically then the patient should be treated as such even if the standard series of X-rays shows no fracture Scaphoid fracture – Obvious v subtle These 2 individuals have transverse fractures of the scaphoid waist The fracture on the left is more easily seen because it is aligned with the X-ray beam The fracture on the right is less easily seen because it lies obliquely to the X-ray beam Many scaphoid fractures are invisible on all 4 scaphoid views Scaphoid fracture – Occult on X-ray – MRI Occasionally repeat X-rays do not show a fracture and MRI is needed Here is the normal X-ray with the MRI which clearly shows the fracture Scaphoid view – Extracarpal fracture – Radius Suspected scaphoid injuries often turn out to be fractures of adjacent bones – sometimes not even in the wrist itself This patient with ‘anatomical snuff box’ tenderness has a fracture of the distal radius – only just visible at the edge of the image Scaphoid view – Extracarpal fracture – Thumb This image shows an obvious scaphoid fracture There is also a fracture of the thumb metacarpal base As with any fracture you spot, always continue to look for other injuries Scaphoid view – Scapholunate widening Widening of the scapholunate space (asterisk) indicates a significant injury to the scapholunate ligament *Some of the image photo is taken from web, we do not own this, it’s for knowledge sharing purpose.

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