QuestionSBA
QuestionChoice
The scaphoid fracture is not confirmed so it would be unnecessary to apply a plaster for 6 – 8 weeks - this is unnecessary immobilisation which could result in muscle atrophy.
10001299
d
Plaster for 6–8 weeks
QuestionChoice
This would be indicated if the patient had a displaced scaphoid fracture, however, this is not evident in the x-rays.
10001298
c
Immediate screw fixation
QuestionChoice
Scaphoid fractures may not be radiologically visible until 10 days after the injury so repeating the x-ray so quickly is unlikely to impact management.
10001300
e
Repeat x-ray within one hour
QuestionChoice
The combination of falling on an outstretched hand and pain over the anatomical snuffbox is highly indicative of a scaphoid fracture. However, a scaphoid fracture may only become visible radiologically after 10 days. A scaphoid fracture must be treated, even if it is not confirmed radiologically, to prevent the development of avascular necrosis of the scaphoid bone.
10001296
a
Plaster for 10 days then repeat x-rays
QuestionChoice
Discharging the patient would put him at risk of avascular necrosis of the scaphoid bone secondary to a lack of treatment.
10001297
b
Discharge
Concept
Chapter
2693
3904
scaphoid fracture
Topic
145
Orthopaedics
12806
A 13-year-old male presents to hospital after falling onto an outstretched hand while playing football.

On examination, there is pain in the anatomical snuffbox. A scaphoid fracture is suspected but x-rays are unremarkable.

Which of the following is the most appropriate next step in management?
a