Radiological diagnosis of scaphoid fractures: are two views enough?
نویسندگان
چکیده
Standard radiological diagnosis of scaphoid fractures involves four views of the wrist PA, lateral and two obliques. This amount of irradiation may be unnecessary, and previous authors have claimed that two views, Stecher (1937) (PA with 300 angulation towards the elbow giving an elongated view of scaphoid) and lateral, are of equal, or better, diagnostic accuracy. This study was performed to test the authenticity of this claim.
منابع مشابه
Inter-observer agreement between 2-dimensional CT versus 3-dimensional I-Space model in the Diagnosis of Occult Scaphoid Fractures
Background: The I-Space is a radiological imaging system in which Computed Tomography (CT)-scans can be evaluated as a three dimensional hologram. The aim of this study is to analyze the value of virtual reality (I-Space) in diagnosing acute occult scaphoid fractures. Methods: A convenient cohort of 24 patients with a CT-scan from prior studies, without a scaphoid fracture on radiograph, ye...
متن کاملFracture of the Carpal Scaphoid —A Radiological Study of Thirty Cases
a radiological department, such was my belief too; but it was not long before I had changed my views on the subject, and I hope that no apology is needed therefore for the publication on my part of a few notes on this interesting and common type of fracture. Our lack of knowledge on this subject is no doubt due to the fact that radiological examinations of ' sprained wrists' were very seldom do...
متن کاملComparative Study of the Diagnostic Value of Panoramic and Conventional Radiography of the Wrist in Scaphoid Fractures
BACKGROUND Scaphoid fractures are the most common type of carpal fractures. OBJECTIVES The aim of the study was to compare the diagnostic value of panoramic and conventional radiographs of the wrist in scaphoid fractures. PATIENTS AND METHODS The panoramic and conventional radiographs of 122 patients with acute and chronic wrist trauma were studied. The radiographs were analyzed and examine...
متن کاملBeware the sprained wrist. The incidence and diagnosis of scapholunate instability.
A consecutive series of 100 cases of wrist injury, other than those referred with a radial fracture, have been reviewed to determine the incidence of acute scapholunate instability; a "clenched fist" radiograph was used in addition to the routine scaphoid views. Of 19 patients with an increase in the scapholunate gap, five were eventually considered to have significant scapholunate instability,...
متن کاملEarly magnetic resonance imaging compared with bone scintigraphy in suspected scaphoid fractures.
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, ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Archives of emergency medicine
دوره 10 2 شماره
صفحات -
تاریخ انتشار 1993