A 16-year-old gymnast presents with wrist pain after falling on an outstretched hand. On examination, there is tenderness and swelling over the scaphoid bone in the wrist. What is the likely diagnosis and the appropriate next steps?
The patient's history and examination findings suggest a potential scaphoid fracture or sprain, which is common after a fall on an outstretched hand. The next step would be to immobilize the wrist and to obtain imaging studies, typically with X-ray initially, to confirm the diagnosis. If an initial X-ray does not show a fracture but clinical suspicion remains high, a follow-up X-ray or an MRI might be required, as scaphoid fractures can sometimes be difficult to identify immediately after injury.