CASE REPORT ISOLATED FRACTURE OF THE （病例报告孤立断裂的）.pdf

CASE REPORT ISOLATED FRACTURE OF THE CAPITATE : THE VALUE OF MRI IN DIAGNOSIS AND FOLLOW UP 1 1 F. DE SCHRIJVER , L. DE SMET We report 2 new cases of isolated fracture of the capi- Two months later he was still experiencing pain. tate. The diagnosis and follow-up were made with The bone scan demonstrated a high uptake into the MRI. Conventional radiographs initially failed to center of the wrist and repeat radiographs (still reveal the fracture. considered negative at the time) revealed, viewed Both fractures were treated conservatively ; one retrospectively, a clear transverse fracture with a healed completely ; the other went on to a well- step-off, both in the AP and in the lateral view tolerated nonunion. (fig. 1). MRI examination was performed and was Keywords : capitate ; fracture ; MRI. highly suggestive of avascular necrosis (fig. 2a). Mots-clés : grand os ; fracture ; IRM. Immobilization was continued and 6 weeks later, revascularization on the MRI was visible (fig. 2b). The fracture line was clearly visible. Healing was uneventful. At 21/2 years follow-up, the wrist INTRODUCTION