Important points regarding hand and carpal fractures
The most important thing to assess is the hand/
finger function.
Look for and exclude any rotational deformity.
Scaphoid fractures may
not be evident on the initial radiograph, get scaphoid views. If initial
radiographs are normal but clinically you suspect there is a scaphoid
fracture. Treat as for scaphoid fracture and repeat radiographs 2 weeks later.