A 23-year-old man presents with a suspected scaphoid fracture after falling on an outstretched hand. X-ray is normal but clinical suspicion is high. A...

Question

A 23-year-old man presents with a suspected scaphoid fracture after falling on an outstretched hand. X-ray is normal but clinical suspicion is high. According to UK guidelines, which is the next step?

Accepted Answer

MRI of the wrist

Answer

Discharge with analgesia

Answer

Immediate open reduction and fixation

Answer

CT scan of the wrist immediately

Answer

Apply a scaphoid cast and repeat X-ray in 1-2 weeks

Scaphoid fracture — MRCEM SBA MCQ

A 23-year-old man presents with a suspected scaphoid fracture after falling on an outstretched hand. X-ray is normal but clinical suspicion is high. According to UK guidelines, which is the next step?