Unstable occult scaphoid fracture diagnosed by dynamic point-of-care ultrasound: a case report and review

This case report highlights the pivotal role of dynamic musculoskeletal ultrasound as an adjunct in the diagnostic algorithm for acute wrist trauma. It demonstrates its ability not only to identify a radiographically occult scaphoid fracture but, more critically, to provide immediate functional information about mechanical stability. This information is paramount for guiding appropriate and timely management to mitigate the risk of long-term complications. We advocate for the broader integration of dynamic ultrasound into the initial assessment of suspected scaphoid fractures.

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Publication Details

Journal
Frontiers in Medicine
Published
2025-11-05
DOI
https://doi.org/10.3389/fmed.2025.1711119
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
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article

Unstable occult scaphoid fracture diagnosed by dynamic point-of-care ultrasound: a case report and review

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Orthopedic Surgery and Rehabilitation
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Unstable occult scaphoid fracture diagnosed by dynamic point-of-care ultrasound: a case report and review

Daniel Chiung‐Jui Su, Jihyo Hwang, Chang Won Kang, Anwar Suhaimi, Yonghyun Yoon, Jeimylo C. de Castro, King Hei Stanley Lam, S. I. Kim, Teinny Suryadi, Hyungjun Kim, Ho‐Won Lee
article en

Abstract

This case report highlights the pivotal role of dynamic musculoskeletal ultrasound as an adjunct in the diagnostic algorithm for acute wrist trauma. It demonstrates its ability not only to identify a radiographically occult scaphoid fracture but, more critically, to provide immediate functional information about mechanical stability. This information is paramount for guiding appropriate and timely management to mitigate the risk of long-term complications. We advocate for the broader integration of dynamic ultrasound into the initial assessment of suspected scaphoid fractures.

Frontiers in MedicineVol. 12
Chinese University of Hong Kong (HK), Pertamina (Indonesia) (ID), Adventist University of the Philippines (PH), Kowloon Hospital (CN), University of Malaya (MY), Tissue Regeneration Systems (United States) (US), Hallym University Kangnam Sacred Heart Hospital (KR), Suwon Research Institute (KR), Dr Youth Clinic (KR), Regenerative Medicine Institute (MX), Synergy Health (US), Chi Mei Medical Center (TW), Kangdong Sacred Heart Hospital (KR), Indonesian Orthopaedic Association (ID), Universitas Karo (ID), Incheon Medical Center (KR), Training Programs in Epidemiology and Public Health Interventions Network (US), Taipei Medical University (TW), University of Hong Kong (HK)
Openalex Percentile: Top 49%
Orthopedic Surgery and Rehabilitation
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