Author’s response:
Thank you for your comments. You are correct that the MRI scans shown do not demonstrate a complete fracture through the scaphoid, but rather a microtrabecular fracture. We did not intend to make the distinction between the 2 entities because management for both is similar. The teaching point of this case was to impress upon clinicians that these types of fractures may be subtle even on MRI, and that if they are not treated appropriately, they can progress to complete fracture or result in non-union and long-term pain and disability.
Jerry Hizon, MD
Riverside, Calif