The Scaphoid Fracture Test is a wrist examination procedure that determines the existence of a scaphoid fracture. The scaphoid is the most commonly fractured carpal. This test has 90% sensitivity and around 40% specificity in indicating a fractured scaphoid.
The patient should be awake and cooperative when the Scaphoid Fracture Test is done.
- Patient should be seated during the procedure.
- The examiner grips the patient’s thumb and places pressure over the anatomical snuffbox. This is the area over the scaphoid bone.
- The examiner notes the patient’s reaction for pain or discomfort.
Positive Scaphoid Fracture Test
There is positive Scaphoid Fracture when there is pain after pressure is applied over the anatomical snuffbox area. Pain could be due to injury and this is indicates scaphoid fracture.
The scaphoid is the most commonly fractured carpal. In a scaphoid fracture, there is a possible risk for avascular necrosis and therefore close monitoring and consultation are a must.