QuestionSBA
QuestionChoice
Although there is currently no radiological evidence of a fracture, the history and examination findings are highly suspicious for a scaphoid fracture. Ibuprofen can be useful in managing the pain associated with this fracture, but it should also be immobilised in a cast before the patient is discharged.
10003732
b
Give ibuprofen and discharge patient
QuestionChoice
Although there is currently no radiological evidence of a fracture, the history and examination findings are highly suspicious for a scaphoid fracture. Internal fixation surgery should be done if there is radiological evidence of a displaced fracture. At this current point in time, the best course of action is to cast the wrist and repeat X-rays after 10 days.
10003733
c
Internal fixation surgery
QuestionChoice
Although there is currently no radiological evidence of a fracture, the history and examination findings are highly suspicious for a scaphoid fracture. Scaphoid fractures can take some time to show up on x-rays, which is why all suspected fractures should be immobilised in a cast and have a follow-up x-ray arranged.
10003731
a
Apply a cast + repeat X-ray after 10 days
QuestionChoice
Although there is currently no radiological evidence of a fracture, the history and examination findings are highly suspicious for a scaphoid fracture. This means that the patient should have a cast and the x-rays should be repeated after 10 days.
10003735
e
Reassure the patient and discharge
QuestionChoice
Although there is currently no radiological evidence of a fracture, the history and examination findings make this highly suspicious of a scaphoid fracture. Reduction surgery should be done if there is radiological evidence of a displaced fracture. At this current point in time, the best course of action is to cast the wrist and repeat X-rays after 10 days.
10003734
d
Reduction surgery
Concept
Chapter
2693
3865
Scaphoid fractures
Topic
145
Orthopaedics
13293
A 31-year-old man presents to A&E following a fall onto his left hand whilst playing football.

On examination, there is swelling on inspection around the wrist, and there is pain on palpation of the anatomical snuffbox. An x-ray is ordered which shows no evidence of a fracture.

How should this patient be managed?
a