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

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

Answer

MRI of the wrist

Answer

Discharge with analgesia

Answer

Immediate open reduction and fixation

Answer

CT scan of the wrist immediately

NICE Fractures Guidance MCQ (SBA): Scaphoid fracture

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?