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Patient presents with left  wrist discomfort after a FOOSH type injury. 

No prior surgeries,  carcinoma  or corticosteroid/opioid regimen reported.

What do you see?

LEFT

PA VIEW OF LEFT WRIST

LEFT

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 Res2023 Feb 21;18(1):123. doi: 10.1186/s13018-023-0