Scaphoid Fracture

Which imaging modality is the gold standard for detecting occult scaphoid fractures in the acute setting when plain radiographs are negative?

A 35-year-old woman presents 6 weeks after a FOOSH injury with persistent wrist pain, swelling, and clicking. Repeat radiographs at 2 weeks showed a non-displaced fracture of the scaphoid waist. She was immobilized in a thumb spica cast for 4 weeks but removed it early due to discomfort. On current examination, anatomical snuffbox tenderness persists, and there is mild loss of grip strength. What is the most likely complication, and what is the appropriate imaging to assess it?

A 22-year-old male college student presents to the emergency department after a fall on an outstretched hand (FOOSH) while playing cricket. Radiographs show a fracture of the carpal scaphoid. Which is the most common site of scaphoid fracture?

A 28-year-old man presents with wrist pain and swelling after a fall on an outstretched hand (FOOSH) 2 days ago. Clinical examination reveals tenderness in the anatomical snuffbox with a positive scaphoid compression test. Plain radiographs (PA, lateral, and scaphoid views) appear normal. What is the investigation of choice to confirm the diagnosis?

A 35-year-old male construction worker sustained a wrist injury 3 weeks ago with persistent pain in the anatomical snuffbox despite immobilization. Initial plain radiographs were normal. MRI performed at 2 weeks showed a non-displaced scaphoid fracture with normal vascularity. He now presents with increasing pain and swelling. What is the most appropriate investigation to assess for complications and guide further management?