X-ray
Obtain both standard and<unk>  views
Up to 10% of initial radiographs fail to detect a fracture
MRI
Gold-standard in cases in which high index of suspicion remains despite negative x-ray
Obtain both standard and<unk>  views
Up to 10% of initial radiographs fail to detect a fracture
Gold-standard in cases in which high index of suspicion remains despite negative x-ray
Assess for instability:
Oblique fracture
>1mm of displacement
Rotation
Comminution
Carpal instability pattern is present
Oblique fracture
>1mm of displacement
Rotation
Comminution
Carpal instability pattern is present
Scaphoid fracture
Cuboid fracture
Lunate fracture
Trapezoid fracture
Triquetrum fracture
Scapular fracture
Pisiform fracture
Jefferson fracture