Carpus

Does scaphoid bone bruising lead to occult fracture? A prospective study of 50 patients

Thavarajah D, Syed T, Shah Y, et al (The Royal Berkshire Hosp, London road, UK; Peterborough and Stamford NHS Foundation Trust, UK; et al) Injury 42:1303-1306, 2011^§

Abstract

Introduction

Bone bruising of the scaphoid is a term reported when magnetic resonance imaging (MRI) is carried out for scaphoid injury. The aim of our study was twofold: to see if bone bruising alone without fracture of the scaphoid bone seen on initial MRI, in a clinically symptomatic (tender) patient at 10–14   days, progressed to fracture, and to define how this entity of bone bruising should be managed.

Methods

This was a prospective study looking at 170 patients with scaphoid injuries, of which 50 had bone bruising without fracture. These were followed up for at least 8   weeks to ascertain whether or not they had developed a fracture. They were assessed for continuity or resolution of their symptoms by way of clinical examination and/or a further MRI and X-ray (scaphoid views).

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