PMC4546792_01
(A) anteroposterior radiograph demonstrate cystic lucency in the middle third of the scaphoid. The speckled calcification in the cyst is suggestive of an enchondroma; (B) Scaphoid view radiograph demonstrate cystic lucency in the middle third of the scaphoid. The speckled calcification in the cyst is suggestive of an enchondroma
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Radiographs revealed a fracture through a lucency in the middle third of the scaphoid, the speckled calcifications in the cyst are suggestive of an enchondroma (Figure 1).
Scan of the wrist providing precise localization of the lesion, revealed the fracture of the scaphoid and the speckled calcification
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The other bones of the carpus were of homogeneous density and normal in shape (Figure 2).
Per operative radiograph demonstrate curettage of the lesion
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The lesion was meticulously enucleated then curetted until both proximal and distal surfaces demonstrated diffuse bleeding when the tourniquet was released (Figure 3).
(A) Anteroposterior radiograph shows vascularized bone graft fixed by kirschner wires; (B) Lateral radiograph shows vascularized bone graft fixed by kirschner wires
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Two percutaneous Kirschner wires were placed to fix the grafted scaphoid (Figure 4).
Anteroposterior radiograph at 4-year follow-up demonstrating good integration of the bone graft with no recurrence
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The bone graft was fully incorporated and remodelled without signs of recurrence (Figure 5).