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The Scaphoid Compression Test

From Chase Farm Hospital, Enfield, Middlesex

Correspondence: Mr. S. C. Chen, F.R.C.S., Consultant Orthopaedic Surgeon, Chase Farm Hospital, The Ridgeway, Enfield EN2 8JL.

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.

Journal of Hand Surgery (British and European Volume), Vol. 14, No. 3, 323-325 (1989)
DOI: 10.1016/0266-7681(89)90094-6


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