The symptoms of all cases have been similar, with onset sudden or gradual, limping, with pain cm weight bearing or on palpation, with swelling with and without redness over the scaphoid. The roentgenogram is typical. Bertolotti11 has written at length on the x-ray appearances, which in substance are as described by Köhler, and summarized by Hetze!. The scaphoid shows changes in four ways : 1, Size. One-half to one-quarter smaller than normal; 2, form entirely regular; 3, architecture impossible

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... to recognize, cortex and spongy portion running together; 4, density increased two to four fold.