This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Radiological investigation

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Radiological investigation is essential in the diagnosis of a scaphoid fracture because the clinical picture is rarely conclusive.

A diagnosis of a "sprained wrist" is permitted only once that of a fractured scaphoid has been excluded.

Four views are required:

  • anterior-posterior
  • lateral
  • two different oblique views

Often, only the oblique view reveals recent fracture, but it is not uncommon for the injury to be overlooked on the initial radiographs.

The appearance of the fracture becomes more obvious after a few weeks:

  • a healing fracture is sclerotic
  • avascular necrosis of the proximal pole results in increased density

An unstable fracture may be apparent from opening of the fracture line, angulation of the distal fragment, foreshortening of the scaphoid, or dorsal angulation of the lunate.

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page