The scaphoid compression test.
A clinical test for scaphoid waist fractures is described in which the first ray is compressed longitudinally. This has the advantage that it can be done when the patient is in a plaster cast. Of 52 patients with suspected scaphoid fractures, 37 had negative tests and proved by X-rays then and later to have no fracture. 12 had positive tests and X-rays. Two patients with positive tests had fractures nearby: one of the scaphoid tuberosity and one of the radial styloid. One patient with a negative test had de Quervain's disease. Once union has occurred, the test becomes negative.
Chen
S C
SC
Chase Farm Hospital, Enfield, Middlesex.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D005596:Fractures, Closed / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014954:Wrist Injuries / Q000175:diagnosis*