Dislocations and Fracture Dislocations of the Metacarpophalangeal and Proximal Interphalangeal Joints

A Scoring System to Demonstrate the Risk for Bone Injury in Patients with Clinically Suspected or Occult Scaphoid Fracture

“…Scaphoid fracture is more common in young and active individuals. 1 2 These patients have a high demand to return to work and sport activities as soon as possible. Therefore, it is important to diagnose a scaphoid fracture accurately and start the correct treatment in the shortest time possible.…”

“…It is generally accepted that delay in diagnosis and treatment of scaphoid fractures can lead to nonunion or malunion and can eventually result in symptomatic osteonecrosis, carpal instability, or secondary osteoarthritis. 2 For these reasons, suspected scaphoid fracture patients should be followed up closely with scaphoid plaster or splint. 2 3 The use of magnetic resonance imaging (MRI) for detecting occult scaphoid fracture is highly definitive.…”

“… 2 For these reasons, suspected scaphoid fracture patients should be followed up closely with scaphoid plaster or splint. 2 3 The use of magnetic resonance imaging (MRI) for detecting occult scaphoid fracture is highly definitive. 4 5 On the other hand, the use of conventional plaster, splint, and close followup methods can cause extra treatments, workforce shortage, and high costs.…”

“…Despite advantages of advanced imaging techniques, there is still conflict about the usage and cost of MRI in the early phase of the fracture 6 7 as most suspected scaphoid fractures are not real scaphoid fractures. 2 …”