Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/111
Title: Early computerized tomography accurately determines the presence or absence of scaphoid and other fractures.
Authors: Cruickshank, Jaycen
Meakin, Alex
Breadmore, Ross
Mitchell, David
Pincus, Steven
Hughes, T.
Bently, B.
Harris, M.
Vo, A.
Issue Date: 2007
Publisher: Blackwell Publishers.
Place of publication: West Melbourne
Journal title: Emergency Medicine Australasia
Volume: 19
Issue: 3
Start Page: 223
End Page: 228
Abstract: OBJECTIVE: To validate the use of early CT in predicting scaphoid fracture and other fractures in patients with suspected scaphoid fracture. METHOD: A prospective observational study of adult patients with a diagnosis of clinical scaphoid fracture presenting to a regional ED. Patients were immobilized in a scaphoid plaster and had a CT (wrist and carpals) same or next day. The gold standard used was the diagnosis on Day 10 with clinical examination and X-rays, with MRI performed in patients with persistent tenderness but normal X-rays. RESULTS: Forty-seven patients completed the study protocol from September 2004 until February 2006. For all fractures, early CT had a 96.8% negative predictive value and 100% positive predictive value (94.4% sensitive, 100% specific). No scaphoid fracture was missed by early CT. One patient had a trapezium fracture on CT, with a coexistent subtle capitate fracture only detected on MRI. CONCLUSION: Early CT scans show promise in the diagnosis of scaphoid and other fractures of the wrist and carpals. Further study is warranted to validate early CT in clinical scaphoid fracture as an alternative to other early advanced imaging, or plaster immobilization and 2 week review.
URI: http://hdl.handle.net/11054/111
metadata.dc.relation.uri: http://onlinelibrary.wiley.com/doi/10.1111/j.1742-6723.2007.00959.x/abstract;jsessionid=9A68388B185537BD7C8416B7477D23CC.d01t04
ISSN: 1742-6731
Internal ID Number: 00097
Health Subject: EARLY DIAGNOSIS
FEMALE
FRACTURES - BONE - RADIOGRAPHY
HUMANS
MAGNETIC RESONANCE IMAGING
MALE
PREDICTIVE VALUE OF TESTS
PROSPECTIVE STUDIES
SCAPHOID BONE - INJURIES
SCAPHOID BONE - RADIOGRAPHY
SENSITIVITY AND SPECIFICITY
TOMOGRAPHY - X-RAY COMPUTED - METHODS
RADIOGRAPHY
Type: Journal Article
Article
Appears in Collections:Research Output

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