Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Appropriate management protocol for a confirmed scaphoid fracture in an adult patient:
- Perform a thorough clinical examination and consider MRI as first-line imaging to confirm the diagnosis of a scaphoid fracture.
- Immobilise the wrist using an appropriate splint or cast to prevent movement and promote healing.
- Provide pain management tailored to the severity of pain, typically starting with oral analgesics such as paracetamol and escalating as needed.
- Arrange for orthopaedic follow-up to monitor fracture healing and assess the need for surgical intervention if there is displacement or non-union risk.
- Provide verbal and written information to the patient about expected outcomes, rehabilitation, and signs of complications.
This approach aligns with the NICE guideline on non-complex fractures, which recommends MRI for suspected scaphoid fractures after clinical examination and emphasises immobilisation and appropriate pain management in adults, with orthopaedic follow-up for definitive care planning NICE NG38.