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Patient presents with left wrist discomfort after a FOOSH type injury.
No prior surgeries, carcinoma or corticosteroid/opioid regimen reported.
PA VIEW OF LEFT WRIST
A close up examination shows a horizontal radiolucency at the base of the left scaphoid. Degenerative change is seen at the distal portion of the radioscaphoid joint
DISCUSSION:
If anatomic “snuff box” pain persists & a fracture is NOT readily visible, a MRI will detect undisplaced fractures. 1 MRI is useful for assessing viability of bone healing as well as osteonecrosis. Arthroscopic osteosynthesis is a minimally invasive procedure for achieving non-union healing in cases with associated degenerative change. 2
REFERENCES:
1. https://radiopaedia.org/articles/scaphoid-fracture?lang=us
2. J Orthop Surg Res. 2023 Feb 21;18(1):123. doi: 10.1186/s13018-023-0
At ProImaging we provide expert chiropractic radiology interpretation.