File:Non-united scaphoid fracture with proximal pole avascular necrosis (Radiopaedia 33623-34731 Axial PD fat sat 24).png

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Non-united_scaphoid_fracture_with_proximal_pole_avascular_necrosis_(Radiopaedia_33623-34731_Axial_PD_fat_sat_24).png ‎(512 × 512 pixels, file size: 190 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 33623
  • Image ID: 10517973
  • Image stack position: 24/44
  • Plane projection: Axial
  • Aux modality: PD fat sat
  • Study findings: There are chronic changes in the scaphoid with an ununited fracture through the waist. The proximal pole is small and sclerotic, with cystic change on the volar aspect. The non cystic portion shows no marrow edema. There is degenerative marrow edema signal in the distal scaphoid bone, with mild surrounding radioscaphoid synovitis. The dorsal scapholunate ligament shows increased signal consistent with a chronic tear. The lunate, distal radius, capitate show normal signal. There is minor degenerative change at the STT joint. CONCLUSION Chronic ununited waist of scaphoid fracture, with advanced avascular necrosis of the proximal pole and cystic change.
  • Modality: MRI
  • System: Musculoskeletal
  • Findings: The fracture line in the scaphoid is still present. Sclerosis is noted at the fracture margins along with increased density of the proximal pole fracture fragment with cystic degenerative change.
Date Published: 20th Jan 2015
Source https://radiopaedia.org/cases/non-united-scaphoid-fracture-with-proximal-pole-avascular-necrosis
Author RMH Core Conditions
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current06:42, 13 August 2021Thumbnail for version as of 06:42, 13 August 2021512 × 512 (190 KB)Fæ (talk | contribs)Radiopaedia project rID:33623 (thread B) (batch #25749-60 C24)

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