The utility of cross-sectional imaging in the management of suspected scaphoid fractures

Journal of Medical Radiation Sciences
Asanka R WijetungaBruno Giuffre

Abstract

Scaphoid fractures are the commonest carpal bone fracture. If untreated they pose significant risk to patients, thus if a scaphoid fracture is suspected, patients are managed with immobilisation. Although scaphoid fractures may be difficult to diagnose on plain radiography, sometimes for months after injury, ongoing radiographic surveillance is preferred due to its low upfront cost. Patients in immobilising casts for long periods experience significant personal and social ramifications such as difficulty working and self-caring. This study examines whether cross-sectional imaging by computed tomography (CT) or magnetic resonance imaging (MRI) is quicker than serial X-ray surveillance at allowing a scaphoid fracture to be either excluded or confirmed. A retrospective record review was performed of the 1709 patients who presented to Royal North Shore Hospital in 2015 with wrist injuries, finding 104 patients clinically suspicious for a fractured scaphoid. All patients were examined by X-ray during their initial hospital presentation, providing 33.7% of final diagnoses in 0.6 ± 1.7 days. However, if initial X-ray proved inconclusive, subsequent serial X-ray surveillance made a final diagnosis after a mean of 24.1 ± 17.2 days, with...Continue Reading

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Citations

Aug 31, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Emre OzkayaZeynep Karakaya

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Methods Mentioned

BETA
imaging technique
X‐ray

Software Mentioned

GraphPad Prism

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