Overview
The scaphoid view positions the wrist in ulnar deviation to elongate the scaphoid and improve fracture detection. It is obtained when scaphoid injury is suspected despite normal standard views. Early detection prevents non union and long term dysfunction.
Technique
Ask the patient to ulnar deviate the wrist and center the detector to the scaphoid waist. Use a slight cranial tube angle if needed to profile the scaphoid. Immobilize the wrist and minimize motion during exposure.
Clinical Indications
Scaphoid view is indicated for snuffbox tenderness and suspected scaphoid fracture. It complements PA and lateral views and may be followed by dedicated CT or MRI if radiographs are inconclusive. Early immobilization is recommended when clinical suspicion is high.
Image Assessment
Inspect the scaphoid waist and proximal pole for cortical disruption and sclerosis. Evaluate for associated radial styloid fractures and carpal instability. Report findings and recommend further imaging if needed.