Which wrist view is particularly useful for evaluating scaphoid fractures?

• A. AP wrist view
• B. Lateral wrist view
• C. Oblique wrist view
• D. Scaphoid view (special projection; often with ulnar deviation)

Answer: (D)

The key idea is that the scaphoid is best seen when you position the wrist to minimize overlap with neighboring bones. The scaphoid view uses a dedicated projection with the wrist in ulnar deviation, which aligns the scaphoid more parallel to the X-ray beam and separates it from the surrounding carpal bones. This reduces superimposition from the radius and other carpals and makes fracture lines more visible, especially for nondisplaced or occult fractures. Because routine views can miss scaphoid injuries, this specialized projection is the most effective single view for evaluating suspected scaphoid fractures. If doubt remains after this view, further imaging like CT or MRI may be used.