Refer to a hand surgeon because may lead to osteonecrosis if not properly recognized/treated
25% of those with initially neg xray will actually have a fracture (typically found on delay xray or other modality)
Repeat Wrist and<unk>  X-rays should be obtained 2-3 weeks after initial injury to assess for fracture if suspicion is high.
Immobilization may be required for at least 6-12 wks
Scaphoid fracture
Cuboid fracture
Lunate fracture
Trapezoid fracture
Triquetrum fracture
Scapular fracture
Pisiform fracture
Jefferson fracture