The following is a comment to the online article “Scaphoid fractures. Thumbing through the research“, written by Dr Robin Park on the FOAM4GP website. This was a very readable summary of some of the evidence behind the management of scaphoid fracture assessment in the general practice context.
Another fantastic post and summary!
Before I give my 2c on this clinical scenario, I like to reflect on the Dave Sackett vision of EBM – that it is the combination of best external evidence, patient values and expectations, and clinical expertise. The research evidence (of which the majority in this scenario has not been in the primary care setting) needs to be applied in a critical manner, appropriate to the context and setting in which care is provided. Continue reading