The First Nugget of Failure to Diagnose a Caphoid Fracture

Any forced hyper extension injury to the wrist with palmer force should make us consider a scaphoid fracture. But there isn't a clear fall on an outstretched hand, and i think that's the first nugget to take away from this guide line. The combination of anatomical snuff box tenderness, scaphoid tubical tenderness and painon dinal compression of the thumb does provide a sensitivity of up to a hundred %. And reasonable specifict at 74%. Do you test these every time? And how do you documents findings in your notes?