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Scaphoid Fracture
Carol L. Andrews, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Navicular fracture
          • Definitions

            • Scaphoid trabecular &/or cortical disruption

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Bone Scintigraphy

                    • Imaging Recommendations

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Fowler JR et al: Scaphoid fractures. Clin Sports Med. 34(1):37-50, 2015
                                      2. Larribe M et al: Usefulness of dynamic contrast-enhanced MRI in the evaluation of the viability of acute scaphoid fracture. Skeletal Radiol. 43(12):1697-703, 2014
                                      3. Grewal R et al: Use of computed tomography to predict union and time to union in acute scaphoid fractures treated nonoperatively. J Hand Surg Am. 38(5):872-7, 2013
                                      4. Querellou S et al: Role of SPECT/CT compared with MRI in the diagnosis and management of patients with wrist trauma occult fractures. Clin Nucl Med. Epub ahead of print, 2013
                                      5. Yin ZG et al: Diagnosing suspected scaphoid fractures: A systematic review and meta-analysis. Clin Orthop Relat Res. 468(3):723-34, 2010
                                      6. Hansen TB et al: Cost-effectiveness of MRI in managing suspected scaphoid fractures. J Hand Surg Eur Vol. 34(5):627-30, 2009
                                      7. Haisman JM et al: Acute fractures of the scaphoid. J Bone Joint Surg Am. 88(12):2750-8, 2006
                                      8. Steinmann SP et al: Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 11(4):424-31, 2006
                                      9. Brydie A et al: Early MRI in the management of clinical scaphoid fracture. Br J Radiol. 76(905):296-300, 2003
                                      10. Rennie WJ et al: Posttraumatic cystlike defects of the scaphoid: late sign of occult microfracture and useful indicator of delayed union. AJR Am J Roentgenol. 180(3):655-8, 2003
                                      11. Dawson JS et al: Scaphoid blood flow and acute fracture healing. A dynamic MRI study with enhancement with gadolinium. J Bone Joint Surg Br. 83(6):809-14, 2001
                                      12. Cerezal L et al: Usefulness of gadolinium-enhanced MR imaging in the evaluation of the vascularity of scaphoid nonunions. AJR Am J Roentgenol. 174(1):141-9, 2000
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Imaging

                                        • Pathology

                                          • Clinical Issues

                                            • Diagnostic Checklist

                                              TERMINOLOGY

                                              • Synonyms

                                                • Navicular fracture
                                              • Definitions

                                                • Scaphoid trabecular &/or cortical disruption

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Bone Scintigraphy

                                                        • Imaging Recommendations

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Fowler JR et al: Scaphoid fractures. Clin Sports Med. 34(1):37-50, 2015
                                                                          2. Larribe M et al: Usefulness of dynamic contrast-enhanced MRI in the evaluation of the viability of acute scaphoid fracture. Skeletal Radiol. 43(12):1697-703, 2014
                                                                          3. Grewal R et al: Use of computed tomography to predict union and time to union in acute scaphoid fractures treated nonoperatively. J Hand Surg Am. 38(5):872-7, 2013
                                                                          4. Querellou S et al: Role of SPECT/CT compared with MRI in the diagnosis and management of patients with wrist trauma occult fractures. Clin Nucl Med. Epub ahead of print, 2013
                                                                          5. Yin ZG et al: Diagnosing suspected scaphoid fractures: A systematic review and meta-analysis. Clin Orthop Relat Res. 468(3):723-34, 2010
                                                                          6. Hansen TB et al: Cost-effectiveness of MRI in managing suspected scaphoid fractures. J Hand Surg Eur Vol. 34(5):627-30, 2009
                                                                          7. Haisman JM et al: Acute fractures of the scaphoid. J Bone Joint Surg Am. 88(12):2750-8, 2006
                                                                          8. Steinmann SP et al: Scaphoid fractures and nonunions: diagnosis and treatment. J Orthop Sci. 11(4):424-31, 2006
                                                                          9. Brydie A et al: Early MRI in the management of clinical scaphoid fracture. Br J Radiol. 76(905):296-300, 2003
                                                                          10. Rennie WJ et al: Posttraumatic cystlike defects of the scaphoid: late sign of occult microfracture and useful indicator of delayed union. AJR Am J Roentgenol. 180(3):655-8, 2003
                                                                          11. Dawson JS et al: Scaphoid blood flow and acute fracture healing. A dynamic MRI study with enhancement with gadolinium. J Bone Joint Surg Br. 83(6):809-14, 2001
                                                                          12. Cerezal L et al: Usefulness of gadolinium-enhanced MR imaging in the evaluation of the vascularity of scaphoid nonunions. AJR Am J Roentgenol. 174(1):141-9, 2000