Scaphoid fracture

Epidemiology

• Most commonly fractured carpal bone

Clinical Presentation

• Fall on outstretched hand
• Pain and tenderness at anatomic snuffbox

Investigations

• X-ray of wrist
  • Lucency usually seen across the waist
  • May not be visible initially but present on follow-up x-ray

Management

• Wrist immobilization for 6-10 weeks
• If not seen on initial x-ray:
  • Wrist immobilization with repeat x-ray in 7-10 days
  • Alternately, CT wrist