Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/111
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dc.contributor.authorCruickshank, Jaycen*
dc.contributor.authorMeakin, Alex*
dc.contributor.authorBreadmore, Ross*
dc.contributor.authorMitchell, David*
dc.contributor.authorPincus, Steven*
dc.contributor.authorHughes, T.*
dc.contributor.authorBently, B.*
dc.contributor.authorHarris, M.*
dc.contributor.authorVo, A.*
dc.date.accessioned2012-11-19T03:41:55Zen
dc.date.available2012-11-19T03:41:55Zen
dc.date.issued2007en
dc.identifier.govdoc00097en
dc.identifier.issn1742-6731en
dc.identifier.urihttp://hdl.handle.net/11054/111en
dc.description.abstractOBJECTIVE: 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.en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-19T03:41:55Z (GMT) No. of bitstreams: 0en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-19T03:41:42ZNo. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2012-11-19T03:41:55Z (GMT). No. of bitstreams: 0 Previous issue date: 2008en
dc.publisherBlackwell Publishers.en
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1111/j.1742-6723.2007.00959.x/abstract;jsessionid=9A68388B185537BD7C8416B7477D23CC.d01t04en
dc.titleEarly computerized tomography accurately determines the presence or absence of scaphoid and other fractures.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleEmergency Medicine Australasiaen
dc.bibliographicCitation.volume19en
dc.bibliographicCitation.issue3en
dc.bibliographicCitation.stpage223en
dc.bibliographicCitation.endpage228en
dc.publisher.placeWest Melbourneen
dc.subject.healththesaurusEARLY DIAGNOSISen
dc.subject.healththesaurusFEMALEen
dc.subject.healththesaurusFRACTURES - BONE - RADIOGRAPHYen
dc.subject.healththesaurusHUMANSen
dc.subject.healththesaurusMAGNETIC RESONANCE IMAGINGen
dc.subject.healththesaurusMALEen
dc.subject.healththesaurusPREDICTIVE VALUE OF TESTSen
dc.subject.healththesaurusPROSPECTIVE STUDIESen
dc.subject.healththesaurusSCAPHOID BONE - INJURIESen
dc.subject.healththesaurusSCAPHOID BONE - RADIOGRAPHYen
dc.subject.healththesaurusSENSITIVITY AND SPECIFICITYen
dc.subject.healththesaurusTOMOGRAPHY - X-RAY COMPUTED - METHODSen
dc.subject.healththesaurusRADIOGRAPHYen
dc.date.issuedbrowse2007-01-01
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