Scaphoid Fracture

• Most commonly fractured carpal.
• Rarely occurs in pediatric patients.
• Occurs during extreme dorsiflexion of the wrist (i.e., a fall on the hands) or extreme ulnar deviation.
• If this fracture is missed, necrosis of the proximal pole may occur due to disruption of the blood supply, that, in many patients is provided only through the distal pole. 

 Look for the scaphoid in the following radiographs. Can you find the problem?

Remember that scaphoid is just distal to radius.