For the diagnosis of a scaphoid fracture, a third projection in an Stecher view should be performed (see “Radiology of the Hand”). The special projection shows the scaphoid approximately parallel to the detector.
In the case of the 28-year-old man, the stecher view of the scaphoid shows no clear evidence of a fracture. Now, an widened scapholunate distance is noticeable.
A contrast-enhanced MRI is performed because of the suspected scapholunate dissociation (SLD).
Case reports of the hand
Really a scaphoid fracture? - Page 2
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