What is the best imaging test for patients with suspected scaphoid fractures and normal plain radiographs? Evidence-based answer: For a patient with a suspected scaphoid fracture but normal plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI), and bone scintigraphy are all ...
If repeat radiographic imaging is negative, however clinical findings are still in keeping with a scaphoid fracture, anMRI scan of the wristis indicated. This is the definitive investigation and, whilst it is awaited, the interim management is as for a fracture. Adapted from Mohamed Jarraya, Da...
● Advanced imaging ⚬ Cost-effectiveness analyses have argued that advanced imaging is more cost-effective than empiric splinting in the setting of negative x-rays and continued snuffbox tenderness, as long as advanced imaging is more than 25% sensitive and less than $2,000 per imaging study9...
The purpose of this study was to evaluate the clinical utility of tomosynthesis in suspected occult fracture. Methods Thirty-five patients with a clinically suspected occult scaphoid fracture after initial normal radiography were imaged with repeat radiography and tomosynthesis scan 2weeks after trauma. ...
If a scaphoid fracture is still clinically suspected but repeat radiographs are normal, further imaging is indicated. The gold standard is an MRI scan, but this is dependent on the facilities available in the local hospital. An MRI has the added benefits of not only identifying a potential ...
The purpose of this study was to evaluate the clinical utility of tomosynthesis in suspected occult fracture. METHODS: Thirty-five patients with a clinically suspected occult scaphoid fracture after initial normal radiography were imaged with repeat radiography and tomosynthesis scan 2 weeks after trauma...
Anecdotally, we feel that this approach does not yield any further injuries and that further imaging does not diagnose fractures that were not evident at first presentation. Our study aim was to determine whether repeat Scaphoid X-rays after a 2 week interval showed up injuries that were not ...
Scaphoid fractureWrist fractureComputer assisted surgeryCASInternal fixationAccuracy3D imagingIntroduction Accuracy in navigated surgery depends on placement and registration of stable reference markers close to the anatomic region of interest. Navigation in small and complex anatomic regions, such as the ...
Hyperextension injuries of the wrist account for a wide variety of wrist pathology, from what may be perceived as a mild "sprain" to the extreme of fracture-dislocation. Ligamentous injuries, which are notoriously difficult to diagnosis with imaging techniques, may progress to overt instability and...