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Occult scaphoid fracture — ABFM Board MCQ

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ModerateMusculoskeletal/Sports medicineOccult scaphoid fractureABFM Board

A 40-year-old woman has wrist pain after a fall on an outstretched hand. Initial wrist radiographs are normal, but she has marked tenderness in the anatomic snuffbox. Which of the following is the most appropriate next step?

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

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Correct answer: AThumb spica immobilization with repeat imaging

Snuffbox tenderness after a fall raises concern for occult scaphoid fracture even when initial radiographs are normal. Thumb spica immobilization and repeat imaging or advanced imaging are appropriate.

Reference: AAFP Wrist Pain Evaluation Review