Authors: James Griffiths / Editor: Thomas Mac Mahon / Reviewer: William Gibbs / Codes: SLO2, SLO4, TC2, TP7 / Published: 21/03/2022
A 45-year-old male patient presents to the Emergency Department having fallen on his outstretched hand. His past medical history includes gastro-oesophageal reflux disease for which he is currently taking omeprazole. He works in an office, does not smoke and drinks occasional alcohol.
You suspect a scaphoid fracture
X-rays taken are normal. The patient is placed into a wrist splint and brought back in 2 weeks for a clinic review.
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Question 1 of 3
1. Question
Which of the following are cardinal clinical features of a scaphoid fracture?
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Question 2 of 3
2. Question
Scaphoid fracture is the most commonly missed fracture leading to litigation?
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Question 3 of 3
3. Question
All suspected occult scaphoid fractures should have an MRI.
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13 responses
Short and sweet but obviously good to know to avoid litigation
This article will make me more focused next time to deal with any wrist injured patient.
one of the importance of fracture clinic.
MRI vs CT good review
Brief, to the point, interesting to learn that MRI and CT have similar accuracy in detecting scaphoid fracture.
clear and concise
Very Informative question
Nice case
thanks God never miss such fracture even with normal x-ray
Very common ED presentation.
Common ED presentation most often missed
Good learning.
did not known About CT/MRI