3 doctors weighed in:

Can I request a cast for a suspected scaphoid fracture even if it doesn't show on xrays?

3 doctors weighed in
Dr. Todd Guyette
Surgery - Hand Surgery

In brief: Yes

Yes...But repeating the xrays at two weeks post injury to confirm or deny the presence of a scaphoid fracture is still recommended.
We don't want to needlessly immobilize a wrist -.

In brief: Yes

Yes...But repeating the xrays at two weeks post injury to confirm or deny the presence of a scaphoid fracture is still recommended.
We don't want to needlessly immobilize a wrist -.
Dr. Todd Guyette
Dr. Todd Guyette
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Dr. Otto Placik
Surgery - Plastics

In brief: Splint not Cast

Most physicians would likely apply a splint rather than a cast for a suspected fracture.
Repeat xrays would likely be obtained a week later to confirm or exclude the possibility of fracture.

In brief: Splint not Cast

Most physicians would likely apply a splint rather than a cast for a suspected fracture.
Repeat xrays would likely be obtained a week later to confirm or exclude the possibility of fracture.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Eon Shin
Orthopedic Surgery

In brief: Yes

Scaphoid fractures are sometimes difficult to visualize on x-rays, especially initially after an injury.
If you have tenderness at the base of your thumb near the wrist, it is reasonable to splint or cast the wrist until follow-up x-rays confirm the absence of any fracture. Occasionally, an MRI study can be useful to rule out a scaphoid fracture definitively.

In brief: Yes

Scaphoid fractures are sometimes difficult to visualize on x-rays, especially initially after an injury.
If you have tenderness at the base of your thumb near the wrist, it is reasonable to splint or cast the wrist until follow-up x-rays confirm the absence of any fracture. Occasionally, an MRI study can be useful to rule out a scaphoid fracture definitively.
Dr. Eon Shin
Dr. Eon Shin
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