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Occult scaphoid fracture — PARA MCQ

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HardMusculoskeletal - TraumaOccult scaphoid fracturePARA

A 24-year-old footballer falls on an outstretched hand. He has anatomical snuffbox tenderness but initial wrist X-ray is normal. What is the most appropriate management?

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Correct answer: B — Immobilise as a scaphoid fracture and arrange fracture-clinic follow-up or further imaging

Snuffbox tenderness after FOOSH may indicate occult scaphoid fracture despite normal initial X-ray. Immobilisation and follow-up imaging or fracture-clinic review are required.

Reference: NICE CKS: Wrist pain; BOAST fracture guidance