Klinische Relevanz der MRT bei akuten Handgelenkverletzungen

Keim, S.; Mack, Martin G.; Vogl, Thomas J.; Windolf, Joachim

doi:10.1007/s00113-002-0485-5

Cited by 5 publications

(1 citation statement)

References 35 publications

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“…Prim ä r durchgef ü hrte nativ-radiologische Aufnahmen des Handgelenkes in zwei Ebenen ergaben keinen Anhalt auf eine frische kn ö cherne L ä sion. Bei [6,7] . Die CT-Diagnostik wird bei Verdacht auf eine Skaphoidfraktur ebenso wie bei konventionell radiologisch nachgewiesener Fraktur empfohlen, da sie zwei wesentliche Entscheidungen erm ö glicht: Erstens den Nachweis oder den Ausschluss der Fraktur.…”

Section: Zusammenfassungunclassified

Die primär nicht nachweisbare Skaphoidfraktur – Eine diagnostische Herausforderung?

Betsch

Jungbluth

Hakimi

et al. 2010

Handchir Mikrochir plast Chir

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Early diagnosis and a correct description of the fracture pattern are of high value in the treatment of scaphoid fractures. X-rays combined with a CT scan or an MRI scan of the affected wrist are considered as the diagnostic standard. The reported case demonstrates that even with a thin thickness layer CT scan in axial planes, a scaphoid fracture can be overlooked. Therefore we recommend after primarily inconspicuous X-rays a CT scan with primary -oblique-sagittal layers in the longitudinal axis of the scaphoid. If this shows no fracture and the clinical suspicion persists, an MRI scan should be performed.

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Section: Zusammenfassungunclassified

Die primär nicht nachweisbare Skaphoidfraktur – Eine diagnostische Herausforderung?

Betsch

Jungbluth

Hakimi

et al. 2010

Handchir Mikrochir plast Chir

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Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures in patients with negative plain radiographs

Mallee

Wang

Poolman

et al. 2015

Cochrane Database of Systematic Reviews

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Treatment of carpal fractures

et al. 2010

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The primary goal in the treatment of carpal fractures is the preservation of a painless wrist function. Scaphoid fractures are the most common carpal fractures and when such a fracture is clinically suspected CT or MRI scans are usually advisable. Only stable and non-displaced scaphoid fractures can be treated conservatively, all other fractures require internal fixation with restoration of normal anatomy. Second most common are fractures of the triquetrum which can occur as chip avulsions of the dorsal rim and are usually treated symptomatically. Fractures of the body of the triquetrum should be treated according to the degree of instability and displacement. This is virtually true for all carpal bones. Perilunate fracture dislocations of the carpus deserve special attention. In these severe injuries a fracture line can run through all carpal bones but the scaphoid is mostly affected. Accurate reduction and internal fixation by screws and K-wires are indicated not only in these cases, but also in carpometacarpal fracture dislocations.

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Klinische Relevanz der MRT bei akuten Handgelenkverletzungen

Cited by 5 publications

References 35 publications

Die primär nicht nachweisbare Skaphoidfraktur – Eine diagnostische Herausforderung?

Die primär nicht nachweisbare Skaphoidfraktur – Eine diagnostische Herausforderung?

Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures in patients with negative plain radiographs

Treatment of carpal fractures

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