PMC6815601_01
AP and lateral radiographs from November 2016 (approximately 3 years and 1 month from the initial injury) demonstrating a nondisplaced scaphoid waist fracture and a subtle osteosclerotic appearance within the proximal pole. There is also a relative sclerotic appearance of the scaphoid relative to the other carpal bones:a constellation of findings concerning for osteonecrosis.
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Interval radiographs revealed a right-sided, displaced scaphoid waist fracture (Figure 1).
(a) Coronal T1-weighted magnetic resonance (MR) image of the right wrist showing diffuse loss of signal throughout the scaphoid bone that is concerning for osteonecrosis; (b) sagittal fat-suppressed PD-w MR image of the right wrist. The presence of a fracture line is indicative of nonunion.
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AVN (Figure 2). At this point, the patient and parents elected to undergo surgical fixation of his nonunion.
AP and lateral radiographs taken two weeks postsurgical fixation using two Arthrex micro screws.
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Two weeks later, he presented to clinic with resolution of pain and intact hardware on imaging (Figure 3).