Don’t believe Scaphoid unless you have seen it all
This case is a part of our resident-professor series, by Dr MGK Murthy. This algorithm is not based on text books and is our own clinical experience.
Is this fracture?
No it looks like calcification on other views
Now is this Fracture?
Yes it is fracture of tubercle though the other oblique is not suggestive
Why is that?
In the second case there was anatomical snuffbox tenderness and it is of utmost importance even in todays digital world
What do we suggest to clinician?
Dr Murthy recommends to all clinicians,
· If X ray is abnormal and tenderness then it is fracture definite
· If x ray is positive and no tenderness snuff box then think of old fracture or calcification particularly stress related and degenerative, MRI would solve riddle
· If tenderness is there and X-ray is normal, still believe tenderness and go for MRI or nuclear scan
· If both are negative then look for other causes of pain and MRI will help.
Don’t believe Scaphoid unless you have seen it all Reviewed by Sumer Sethi on Friday, September 02, 2011 Rating: