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Clinical tests for scaphoid fractures

Report By: Michael Callaghan, Research Physiotherapist

Search checked by: Janet Fowler, Consultant Physiotherapist

Institution: Department of Physiotherapy, Manchester Royal infirmary, UK

Three part question

In (adults with suspected scaphoid fracture) which (is the best clinical test) to (diagnose this injury).

Clinical scenario

A 41-year-old female presents to the department hours after a FOOSH. She has pain on the radial side of the wrist and over the ASB. You wonder if she has had a fracture of the scaphoid and want to know the best clinical test to help the diagnosis.

Search strategy

MEDLINE 1966–2/11, CINAHL 1982 2/11, AMED 1985–2/11, SPORTDiscus 1830–2/11, EMBASE 1996–2/11, via the OVID interface. The Cochrane database, …

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