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Case reports of the hand

Really a scaphoid fracture?

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A 28-year-old man falls on his outstretched right hand while playing soccer. He noticed a painful swelling on the radial side of the wrist. It took him another 14 days before seeking help.

At the hand surgery service, a scaphoid fracture was suspected and x-rays were ordered.

Radiography - Wrist in 2 planesExamination findings

The waist on the radial side of the wrist is swollen, and radial inclination and extension are restricted. Pressure pain is reported at the tabatière. An X-ray diagnosis is arranged.

The radiographs of the wrist in two planes show no scaphoid fracture.

What additional diagnostic procedure should be performed?