Ultrasound assessment of the suspected scaphoid fracture.
نویسندگان
چکیده
A prospective study of 111 patients thought to have sustained a recent scaphoid fracture on clinical grounds but who were radiologically negative was undertaken over a period of 7 months. All such patients were subjected to ultrasound scanning within a week of their injury under double blind conditions. All patients were re-X-rayed 2-3 weeks after their injury. The authors' results suggest that ultrasonic diagnosis of the possibly fractured scaphoid is unreliable.
منابع مشابه
Assessment of the suspected fracture of the scaphoid.
A suspected fracture of the scaphoid remains difficult to manage despite advances in knowledge and imaging methods. Immobilisation and restriction of activities in a young and active patient must be balanced against the risks of nonunion associated with an undiagnosed and undertreated fracture of the scaphoid. The assessment of diagnostic tests for a suspected fracture of the scaphoid must take...
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2 Orava S, Puranen J, Ala Ketola L. Stress fractures caused by physical exercise. Acta Orthop Scand 1978;49:19-27. Meurman KOA, Elfring S. Stress fractures in soldiers: a multifocal disorder. A comparative radiological and scintigraphic study. Radiology 1980;134 :483-7. Delacerda FG. A case study: application of ultrasound to determine a stress fracture of the fibula. Journal of Orthopaedic and...
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INTRODUCTION Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed...
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Scaphoid fractures are the most common carpal fractures; their overall incidence is however low. Missing a scaphoid fracture may lead to a non-union with a possible disastrous outcome for the patient; for this reason, treatment of a suspected scaphoid fracture, even without a proven fracture on the first radiograph, has been conservative with plaster treatment. There are many clinical tests dev...
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We evaluated 100 consecutive patients with a suspected scaphoid fracture but without evidence of a fracture on plain radiographs using MRI within 24 hours of injury, and bone scintigraphy three to five days after injury. The reference standard for a true radiologically-occult scaphoid fracture was either a diagnosis of fracture on both MRI and bone scintigraphy, or, in the case of discrepancy, ...
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ورودعنوان ژورنال:
- Archives of emergency medicine
دوره 5 2 شماره
صفحات -
تاریخ انتشار 1988