🎁 Last minute FRCR Course Part 2 starting 20th October 2021 06:00 GMT
John Curtis

Scaphoid fracture

Radiological description of scaphoid fracture with vascular anatomical considerations that determine the development of avascular necrosis as a significant complication

When scaphoid fractures are clinically suspected but cannot be seen, a second scaphoid series is carried out at a 10-day review consultation. If the radiograph still doesn't show a fracture but it remains clinically likely then an MRI scan should be recommended to look for an occult undisplaced fracture.

This is an important sequence of recommendation since scaphoid fractures in a great deal of medicolegal burden when undiagnosed acutely. The typical sequence of events is that only one round of x-rays is done and the patient discharged, only to find that they have avascular necrosis and secondary osteoarthritis years later.