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Scaphoid Fracture Signs

Aka: Scaphoid Fracture Signs, Snuffbox Tenderness, Scaphoid Tubercle Tenderness

Exam: Pain over anatomic snuffbox
1. Technique
  1. Palpate anatomic snuffbox on dorsal wrist
  2. Findings
    1. Localized tenderness
    2. Localized swelling may be present
  3. Exacerbating factors (increase Specificity)
    1. Wrist pronation
    2. Wrist ulnar deviation
2. Efficacy
  1. Test Sensitivity: 90%
  2. Test Specificity: 40%
Exam: Pain over Scaphoid Tubercle
1. Technique
  1. Extend affected wrist with one hand
  2. Palpate Scaphoid tubercle with other hand
    1. Proximal wrist crease and
    2. Extensor carpi radialis
2. Efficacy
  1. Test Sensitivity: 87%
  2. Test Specificity: 57%
Exam: Pain over First Metatarsal
1. Technique
  1. Pain on axial pressure of First Metacarpal bone
2. Efficacy
  1. Test Specificity: 48%

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 4/18/2013 and last published on 5/14/2013.

This is one of 5887 pages in the Family Practice Notebook