Dr. Jiwu Chen

Sports Medicine Specialist

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Wrist sports injury

Could a painful wrist after a fall still have a scaphoid fracture when the X-ray is normal?

Doctor’s answer

Yes. An early scaphoid fracture may not appear on an initial X-ray and often causes tenderness in the anatomical snuffbox near the base of the thumb. With typical tenderness or persistent pain, the wrist should be immobilised and reassessed with repeat X-rays, MRI, or CT to reduce the risk of non-union and avascular necrosis.

Author: Dr. Jiwu Chen Medical review: Dr. Jiwu Chen