King Fahd Hospital -Medina Munawrah-Orthopedic Surgery Department
Collapse of scaphoid & lunate
39 years old female complaining of pain and swelling rt. wrist joint since 10 years . She had no history of trauma.
Pain is intermittent with inability to do her daily life activity during attacks which last for few days.
On examination , the wrist is swollen , minimal tenderness and reasonable range of active and passive movement.
X-ray showed complete collapse of the scaphoid and lunate bones with fragmentation of both,
MRI showed the same features.
WHAT IS THE PROBABLE DIAGNOSIS AND HOW TO MANAGE ?
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