| One of the problems with scaphoid fractures
is ischemia of the proximal fracture fragment resulting in delayed union,
nonunion or irretrievable avascular necrosis. In this case, ischemic changes
involving the entire scaphoid are documented following a scaphoid fracture
due to minimal trauma. This progressed with cystic changes and AVN on MRI.
The patient had persistent pronounced wrist stiffness and pain. As pointed
out to me by Dr. Lawrence Schneider (thanks!), this is technically not
true Preiser's, for the fracture preceded the AVN. |
