27b - Answer: 17-year-old male presents with pain in left wrist since fall
HISTORY:
This 17-year-old male presents with pain in left wrist since fall during basketball practice.
(QUIZ ANSWER) PRIMARY FINDING:
Nondisplaced transverse fracture of the scaphoid.
Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.
FINDINGS:
There is a nondisplaced transverse fracture through the proximal scaphoid with associated osteoedema. There is no MR evidence of osseous union. Osteoedema is also present within the trapezoid, but no other macrofractures are identified within the interrogated field. Joint spaces appear preserved.
The triangular fibrocartilage complex is intact. Scapholunate and lunatotriquetral ligaments are intact.
Visualized extensor and flexor tendons are unremarkable. Muscles and other soft tissues are unremarkable.
IMPRESSION:
Nondisplaced transverse linear fracture of the proximal scaphoid. No MR evidence of osseous union. Osteoedema within the trapezoid without macrofracture, likely due to microtrabecular injury.
Negative variance posture.
Case Challenge: Wrist MRI Cases
Case Challenge
Browse other topics in...
Content reviewed: September 28, 2021