Simultaneous Fractures of the Waist and Tuberosity of the Scaphoid

Abstract

We present a case of a double fracture of the scaphoid. A non-displaced transverse fracture of the waist was associated with a displaced fracture of the tuberosity in the same scaphoid. To our knowledge this combination in an acutely fractured scaphoid has been described in only six previous cases.

Coronal Fractures of the Proximal Scaphoid: The Proximal Ring Sign

“…Moreover there are reports in the literature of occult (Kukla et al, 1997), and unusual acute fractures of the scaphoid. Atypical dorsal avulsion fractures (Compson et al, 1993), unusual displacement of the proximal pole (Shestak and Ruby, 1983), or simultaneous fractures of the waist and tuberosity (Fritsche et al, 1997) have been described, and comminution or fractures with a large middle third ''intermediate'' fragment have been reported in scaphoid fractures associated with perilunate dislocations (Herzberg et al, 1993). To the best of our knowledge, coronal fracture of the proximal scaphoid has not been previously reported.…”

Klinische Relevanz der MRT bei akuten Handgelenkverletzungen

“…Eine lineare Signalverminderung in der T1-gewichteten Sequenz sowie eine korrelierende Signalverstärkung in der T2-gewichteten Sequenz waren diagnoseweisend. Ein Knochenmarködem entspricht als "bone bruise" primär keiner echten Fraktur [13,15].…”