Clinical result of operative treatment for scaphoid non- union in the skeletally immature: percutaneous versus open procedure. Hand Surg. 2008;13(1):11-6. Author Information M Z Saeed, FRCS (Tr & Orth), Consultant Trauma and Orthopaedics Surgeon North Middlesex University Hospital NHS Trust ...
Clinical result of operative treatment for scaphoid non- union in the skeletally immature: percutaneous versus open procedure. Hand Surg. 2008;13(1):11-6. Author Information M Z Saeed, FRCS (Tr & Orth), Consultant Trauma and Orthopaedics Surgeon North Middlesex University Hospital NHS Trust ...
Aim: Scaphoid fracture is common and has relatively good rates of successful treatment. However, a small group of patients remain at risk of developing fracture non-union. This condition can be physically debilitating and lead to permanent deformity. We present a review of the management of ...
FractureImagingOccultRiskScaphoidIntroduction: Despite scaphoid fractures being relatively uncommon pro-active treatment of suspected fractures has been seen as a risk management strategy. The poor positive predictive value of X-rays has led to published guidelines advocating MRI as a first-line or early...
The low prevalence of a true fracture among suspected fractures (median = 20%) means the lower specificity for BS is problematic. For example, in a cohort of 1000 patients, 112 will be over-treated when BS is used for diagnosis. If CT is used, only 8 will receive unnecessary treatment....
The suspected scaphoid fracture remains a diagnostic conundrum with over-treatment a common risk-averse strategy. Cross-sectional imaging remains the gold standard with MRI recommended but CT used by some because of easier access or limited MRI availability. The aim of this feasibility study was to...