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Scaphoid Fracture Quiz

Scaphoid Fracture Quiz

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Question 1 of 5

1. Question

A 19-year-old male falls on his outstretched hand while playing football. He has wrist pain and marked tenderness in the anatomical snuffbox. Initial X-ray of the wrist is normal. What is the best next step?

Discharge with reassurance
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Repeat X-ray in 6 weeks
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Immobilise in a thumb spica cast and repeat imaging in 10–14 days
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Immediate CT scan without immobilisation
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Question 2 of 5

2. Question

Which site of scaphoid fracture carries the highest risk of avascular necrosis?

Distal pole
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Waist
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Proximal pole
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Scaphotrapezial joint
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Question 3 of 5

3. Question

Which combination forms the classic triad for suspected scaphoid fracture?

FOOSH injury, wrist swelling, visible deformity
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FOOSH injury, snuffbox tenderness, normal initial X-ray
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Wrist pain, abnormal X-ray, AVN on MRI
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Snuffbox tenderness, fever, raised inflammatory markers
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Question 4 of 5

4. Question

Which investigation is the most sensitive for detecting an occult scaphoid fracture within 24 hours?

Plain X-ray
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Ultrasound
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CT scan
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MRI
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Question 5 of 5

5. Question

A 22-year-old student sustained a scaphoid waist fracturHe was managed conservatively in a cast but presents 6 months later with persistent pain and reduced wrist mobility. Imaging shows non-union with collapsWhat complication has most likely occurred?

Kienböck’s disease
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SNAC wrist (Scaphoid Non-union Advanced Collapse)
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Scapholunate ligament tear
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Carpal tunnel syndrome
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