Le diagnostic des fractures récentes du scaphoïde : revue de la littérature

Blum, Alain; Sauer, B.; Detreille, R.; Zabel, J.P.; Pierrucci, F.; Witte, Yannick; Dap, F.

doi:10.1016/s0221-0363(07)91342-6

Cited by 39 publications

(9 citation statements)

References 100 publications

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“…As already mentioned, it is difficult to diagnose the scaphoid fractures with plain radiographs and different studies have cited the sensitivity of plain radiography after injury 59 to 79 percent which is relatively low ( 13 , 19 , 20 ). MRI is a gold standard for the diagnosis of this type of fracture, but its cost is relatively high ( 19 , 21 , 22 , 23 , 24 , 25 ).…”

Section: Discussionmentioning

confidence: 99%

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The Accuracy of Pain Measurement in Diagnosis of Scaphoid Bone Fractures in Patients with Magnetic Resonance Imaging: Report of 175 Cases

Sharifi

Zakeri

et al. 2015

Med Arh

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Introduction:Scaphoid fracture is the most common fracture among the bones of the wrist. Plain radiography has a sensitivity of 59 to 79 percent for the diagnosis of scaphoid fracture after injury. Casting is done to avoid complications in patients with suspected fractures with normal radiography. Magnetic resonance imaging (MRI) has a sensitivity of 100% and a specificity of 99%. To avoid unnecessary casting and high costs, we decided to offer a way more efficient than radiography and less costly than MRI.Material and Methods:In the present study, 175 patients with suspected scaphoid fracture along with snuff box tenderness and normal radiography were enrolled in the study. On arrival, patients’ pain score were determined using visual analog scale method with anatomical snuffbox tenderness and then MRI was performed on the patients’ wrist and the results were recorded for patient in the check list. The data was then aggregated and analyzed.Results:The result of MRI for fracture was negative for 90.9% and positive for 9.1%. The mean pain score was 7.3 in negative MRI group and 8.75 in positive MRI group, considering a significant difference. ROC curve graph showed that the sensitivity and specificity will be 87% and 57%, respectively for scores 7.5 and higher and 75% and 72%, respectively for scores 8.5 and higher.Conclusion:It seems that although this method, beside other criteria in the diagnosis of fractures, can be useful in future studies, it would not be helpful in fracture detection.

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Section: Discussionmentioning

confidence: 99%

“…Numerous studies have reported the sensitivity of plain radiography after injury 59 to 79% ( 13 , 14 ). According to current issues, immobilization with casting is usually done for a disease with clinically suspected fracture, even if there is no visible sign on radiography.…”

Section: Introductionmentioning

confidence: 99%

The Accuracy of Pain Measurement in Diagnosis of Scaphoid Bone Fractures in Patients with Magnetic Resonance Imaging: Report of 175 Cases

Sharifi

Zakeri

et al. 2015

Med Arh

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“…CT, MRI and bone scan have all been shown to be effective in the diagnosis of occult scaphoid fractures [11], but to date no studies have shown additional benefit from early advanced imaging for hard clinical outcomes. At present, the logical role for advanced imaging is for patients with persistent symptoms and normal follow-up X-rays.…”

Section: Discussionmentioning

confidence: 99%

Initial management of potential occult scaphoid fracture in Australasia

Kelly

2010

Int J Emerg Med

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AimTo characterise current management of adult patients with possible occult scaphoid fracture in Australasian emergency departments.MethodsInternet-based survey of Directors of Emergency Medicine Training throughout Australasia. Data collected included the most common management used in ED for patients with possible occult scaphoid fracture and whether there was a guideline regarding management of such cases. Data are reported as descriptive statistics.Results61 responses were received (response rate 73%). The most common management reported was immobilisation in a backslab (23, 38%) or full cast (19, 32%) with clinical assessment and re-X-ray in 7–10 days. CT scan within 7 days was used by 9 (15%), bone scan within 7 days by 6 (10%) and MRI within 7 days by 3 (5%). Very few sites were using same day/next day CT or MRI. Eighty-three percent of sites reported not having a guideline/protocol for this condition.ConclusionThe traditional approach to management of possible occult scaphoid fracture of immobilisation with re-X-ray at 7–10 days remains the most commonly used in Australasia, despite evidence that this is probably over-treatment with significant consequences for patients. The place of advanced imaging for investigation of potential scaphoid fractures requires further research.

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“…US with a linear high-frequency probe (>12 Mhz) is required to evaluate the scaphoid bone [2,3,7,13,20,22,23]. Comparative sonography of both normal and painful wrist should be performed, assessing the normal side before the injured side [16].…”

Section: Imaging Techniquementioning

confidence: 99%

What is the role of ultrasonography in the early diagnosis of scaphoid fractures?

Ortiz

Guevara

Ramírez

et al. 2021

European Journal of Radiology Open

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Scaphoid fractures are the most prevalent type of carpal bone fractures. High-spatial-resolution sonography detects direct signs of scaphoid fractures such as scaphoid cortical disruption; nevertheless, indirect signs such as radiocarpal effusion and scapho-trapezium-trapezoid effusion can also be visible. The diagnosis is performed when both direct and indirect signs of scaphoid fracture are presented. The presence of indirect signs alone is not enough to complete the diagnosis, for which more advanced imaging modalities are usually required. Here, we review the anatomy of the scaphoid, the clinical manifestations of scaphoid fractures, as well as ultrasonographic findings and differential diagnosis.

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Le diagnostic des fractures récentes du scaphoïde : revue de la littérature

Cited by 39 publications

References 100 publications

The Accuracy of Pain Measurement in Diagnosis of Scaphoid Bone Fractures in Patients with Magnetic Resonance Imaging: Report of 175 Cases

The Accuracy of Pain Measurement in Diagnosis of Scaphoid Bone Fractures in Patients with Magnetic Resonance Imaging: Report of 175 Cases

Initial management of potential occult scaphoid fracture in Australasia

What is the role of ultrasonography in the early diagnosis of scaphoid fractures?

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