8/16/2023 0 Comments Scaphoid bone fractureWhere MRI is not available, a bone scan may be useful. There will be increased signal in edematous bone marrow on the fluid-weighted sequences (T2/STIR) and reduced signal on T1. It is also very sensitive for a ligamentous injury. MRIĪn MRI is a very sensitive test for looking at bone edema which occurs after fracture. However, displaced and non-displaced fractures of the proximal and distal pole may be seen. Plain radiographĪ lucent line across the waist of the scaphoid is the commonest site for fracture. However, scaphoid fractures may be occult and the risk of avascular necrosis merits follow-up in patients with continued symptoms.Īdditional follow-up in this group can make use of a bone scan or MRI because of their greater sensitivity and specificity. Plain radiographs (4-view scaphoid series) is used for diagnosis. avascular necrosis can occur and result in chronic pain.most fractures heal without complications.internal fixation may be required for displaced waist fractures.non-displaced fractures treated with immobilization in cast.if normal with continued symptoms, further imaging can be performed.a scaphoid series (4 views) more sensitive than wrist x-ray (2 views).scaphoid fractures may be occult on plain radiographs.focal tenderness over the anatomical snuffbox.wrist pain following a fall onto an outstretched hand.commonest in male adolescents and young adults (10-19) 1.For more information, you can read a more in-depth reference article: scaphoid fracture.
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