Scaphoid fracture

Case contributed by Tim Luijkx , 10 Jun 2015
Diagnosis certain
Changed by Tim Luijkx, 10 Jun 2015
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Body was added:

Scaphoid fractures can be notoriously hard to identify on x-ray, if possible at all.

MRI or CT is very useful to identify a fracture of the scaphoid.

MRI will show bone marrow oedema on fluid-sensitive sequences and a hypointense line on T1.

  • +<p>Scaphoid fractures can be notoriously hard to identify on x-ray, if possible at all.</p><p>MRI or CT is very useful to identify a fracture of the scaphoid.</p><p>MRI will show bone marrow oedema on fluid-sensitive sequences and a hypointense line on T1.</p>
Presentation was added:
Fall on hand during football. Swelling of the wrist.
Age was set to 20.
Gender was set to Male.
Status changed from draft to published (public).
Published At was set to .
Diagnostic Certainty was set to .

Systems changed:

  • Musculoskeletal

Updates to Study Attributes

Modality was set to X-ray.
Findings was added:

No fracture evident in the scaphoid.

Images Changes:

Image X-ray (Frontal) ( update )

Perspective was set to Frontal.

Image X-ray (Lateral) ( update )

Perspective was set to Lateral.

Image X-ray ( update )

Perspective was set to .

Image 1 X-ray (Frontal) ( create )

Position was set to .

Image 2 X-ray (Lateral) ( create )

Position was set to .

Image 3 X-ray ( create )

Position was set to .

Image 4 X-ray ( create )

Position was set to .

Image 5 X-ray ( create )

Position was set to .

Image 6 X-ray ( create )

Position was set to .

Updates to Study Attributes

Modality was set to MRI.
Findings was added:

Bone marrow oedema in scaphoid, lunate and triquetrum.

Hypointense line in the proximal pole of the scaphoid bone indicative of a fracture.

Well-corticated cyst in the lunate bone is incidentally noted.

Images Changes:

Image MRI (STIR) ( update )

Perspective was set to Coronal.
Specifics was set to STIR.

Image MRI (T1) ( update )

Perspective was set to Coronal.
Specifics was set to T1.

Image 1 MRI (T1) ( create )

Image 2 MRI (STIR) ( create )

Position was set to .

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