We investigated the diagnostic value of two different ultrasound scanning m
ethods for the early diagnosis of acute scaphoid fractures. Fifty-seven pat
ients with ten scaphoid fractures were assessed within a week of injury. Th
e accuracy of the ultrasound assessment was 84% and its specificity was 91%
. However, its sensitivity was only 50%, We conclude that ultrasound examin
ation is unreliable for the diagnosis of acute scaphoid fractures.