MRI Wrist - Coronal T1 - Scaphoid fracture

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MRI Wrist - Coronal T1 - Scaphoid fracture

  • Clinically this patient had a suspected scaphoid fracture which was not visible on the plain X-ray images
  • This T1 image (fat is bright) shows reduced fat signal within the scaphoid – compare with the normal bone marrow in the other bones such as the adjacent capitate

MRI Wrist - Coronal STIR - Scaphoid fracture

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MRI Wrist - Coronal STIR - Scaphoid fracture

  • This STIR image (highly water sensitive) shows increased signal which correlates with the area of low signal seen on the T1-weighted image
  • Signal is normal in the bone marrow of the other bones such as the capitate
  • This pattern of altered signal represents bone marrow oedema due to bone bruising – typical features of an undisplaced scaphoid fracture