Clinical case of fracture of the proximal third of the scaphoid

A patient with three weeks of evolution, after a fall to the ground in a soccer game, presented pain at palpation of the anatomical snuffbox and with the Watson test. The anteroposterior radiograph showed the fracture plane at the proximal pole (Fig. 4A), which was confirmed by magnetic resonance imaging (MRI; Fig. 4B). Surgery was performed with percutaneous fixation using the dorsal access; at ten weeks, consolidation was demonstrated by radiographic images in anteroposterior (Fig. 4C) and lateral (Fig. 4D) views. Clinical imaging demonstrates normal healing, and normal wrist flexion and extension (Fig. 4E–G).

Clinical case of a proximal pole scaphoid fracture; A, anteroposterior radiograph of wrist; B, magnetic resonance imaging; C, anteroposterior radiograph, ten weeks after surgical correction; D, lateral radiograph, ten weeks after surgical correction; E, scar on the back of the wrist; F, wrist flexion; G, wrist extension.