Follow up imaging: Bone bruising detected on MRI without fracture is an important finding, and can lead to occult fracture (~2%). It can take anywhere up to 8 weeks to manifest itself. Treatment for bone bruising should be with a scaphoid cast and follow-up x-ray. Consider repeating radiographs ; based on the results possibly another MRI for further evaluation. Ligamentous injury should also be considered.
Answered 6/10/2014
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