7 doctors weighed in:

If I have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? I had an injury on my hand last summer, initial X-ray and MRI showed nothing other than sprained scapholunate ligament with post-traumatic synovit

7 doctors weighed in
Dr. Andrew Gutow
Surgery - Hand Surgery
3 doctors agree

In brief: Scaphoid fracture

If you had a scaphoid fracture which was initially not diagnosed and it has not healed ( a scaphoid nonunion ), this will show up on regular x-rays 6 months after the injury.
Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose.

In brief: Scaphoid fracture

If you had a scaphoid fracture which was initially not diagnosed and it has not healed ( a scaphoid nonunion ), this will show up on regular x-rays 6 months after the injury.
Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose.
Dr. Andrew Gutow
Dr. Andrew Gutow
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1 comment
Dr. Tariq Niazi
See a local ORS or a hand surgeon to be examined, investigated and treated. Generally the pain can be dealt with with surgery.
Dr. Jeffrey Wint
Surgery - Hand Surgery
3 doctors agree

In brief: An

An xray likely would show a fracture if it occurred 6 months ago and did not heal.
However an MRI would likely have also showed a fracture at the time of injury, so a negative MRI 6 months ago means you likely did not have a fracture. A sprained scapholunate ligament could lead to problems that can have pain as a later finding. Pain at the base of the thumb may be to another issue that is not related to the scaphoid or the ligmanets that surround it. A common cause for pain a the base of the thumb is midd arthritis. If you ask your doctor i'm sure they would repeat an x-ray, but finding a fracture would be very unusual at this time given the history is correct.

In brief: An

An xray likely would show a fracture if it occurred 6 months ago and did not heal.
However an MRI would likely have also showed a fracture at the time of injury, so a negative MRI 6 months ago means you likely did not have a fracture. A sprained scapholunate ligament could lead to problems that can have pain as a later finding. Pain at the base of the thumb may be to another issue that is not related to the scaphoid or the ligmanets that surround it. A common cause for pain a the base of the thumb is midd arthritis. If you ask your doctor i'm sure they would repeat an x-ray, but finding a fracture would be very unusual at this time given the history is correct.
Dr. Jeffrey Wint
Dr. Jeffrey Wint
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