skip to main content

Occult scaphoid fracture — RCPSC EM MCQ

Instant feedback + full explanation. One question, done properly.

ModerateMusculoskeletalOccult scaphoid fractureRCPSC EM

A 22-year-old snowboarder falls on an outstretched hand. Wrist radiographs are normal, but there is anatomic snuffbox tenderness and pain with axial thumb loading. What is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Thumb spica immobilisation with repeat imaging or advanced imaging follow-up

A clinically suspected scaphoid fracture can have initial normal radiographs. Immobilisation and repeat or advanced imaging are required to prevent missed fracture and avascular necrosis.

Reference: Canadian emergency radiology and orthopaedic practice