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An unlucky break
Mr P was playing football with his sons when the ball struck his right hand, resulting in a hyperextension injury of the right wrist. He decided to deal with the resulting pain by applying an ice-pack and taking some analgesics.
Two days later the pain in his wrist had still not improved and he attended A&E at his local hospital. On arrival he was triaged to the walk-in centre adjacent to the unit where he was seen by an emergency nurse practitioner. On examination, a diagnosis of a wrist sprain was made, bandaging applied and Mr P discharged with instructions to mobilise the wrist.
The following week Mr P was still experiencing persistent pain and returned to the walk-in centre where he was seen by another emergency nurse practitioner. A possible scaphoid fracture was suspected and the nurse ordered a plain x-ray of the wrist.
She made no mention of a suspected scaphoid fracture on the x-ray request form.
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