کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3242293 | 1206105 | 2007 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A prospective comparison for suspected scaphoid fractures: Bone scintigraphy versus clinical outcome A prospective comparison for suspected scaphoid fractures: Bone scintigraphy versus clinical outcome](/preview/png/3242293.png)
SummaryEarly diagnosis and treatment of scaphoid fractures limits the number of delayed and non-unions. Bone scintigraphy proved to be a sensitive diagnostic tool for the detection of occult scaphoid fractures. However, the results have to be interpreted with care.ObjectiveTo prospectively correlate the results of bone scintigraphy with clinical outcome.MethodsIn a prospective study, we analysed 50 consecutive patients with signs of a scaphoid fracture at physical examination but no evidence of a scaphoid fracture on scaphoid radiographs. All patients had a protocolised follow up at fixed intervals. The clinical outcome was defined according to a standardised algorithm.Main resultsBone scintigraphy revealed 32% (16/50) occult scaphoid fractures and 40% (20/50) occult other fractures. Clinical outcome proved that bone scintigraphy was false positive in five patients and in one case false negative for a scaphoid fracture.ConclusionBone scintigraphy in combination with protocolised physical examination is the gold standard for patients with signs of a scaphoid fracture that cannot be proven on scaphoid radiographs.
Journal: Injury - Volume 38, Issue 7, July 2007, Pages 769–774