Please use this identifier to cite or link to this item:
http://hdl.handle.net/11054/111
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Cruickshank, Jaycen | * |
dc.contributor.author | Meakin, Alex | * |
dc.contributor.author | Breadmore, Ross | * |
dc.contributor.author | Mitchell, David | * |
dc.contributor.author | Pincus, Steven | * |
dc.contributor.author | Hughes, T. | * |
dc.contributor.author | Bently, B. | * |
dc.contributor.author | Harris, M. | * |
dc.contributor.author | Vo, A. | * |
dc.date.accessioned | 2012-11-19T03:41:55Z | en |
dc.date.available | 2012-11-19T03:41:55Z | en |
dc.date.issued | 2007 | en |
dc.identifier.govdoc | 00097 | en |
dc.identifier.issn | 1742-6731 | en |
dc.identifier.uri | http://hdl.handle.net/11054/111 | en |
dc.description.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. | en |
dc.description.provenance | Approved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-19T03:41:55Z (GMT) No. of bitstreams: 0 | en |
dc.description.provenance | Submitted by Gemma Siemensma (gemmas@bhs.org.au) on 2012-11-19T03:41:42ZNo. of bitstreams: 0 | en |
dc.description.provenance | Made available in DSpace on 2012-11-19T03:41:55Z (GMT). No. of bitstreams: 0 Previous issue date: 2008 | en |
dc.publisher | Blackwell Publishers. | en |
dc.relation.uri | http://onlinelibrary.wiley.com/doi/10.1111/j.1742-6723.2007.00959.x/abstract;jsessionid=9A68388B185537BD7C8416B7477D23CC.d01t04 | en |
dc.title | Early computerized tomography accurately determines the presence or absence of scaphoid and other fractures. | en |
dc.type | Journal Article | en |
dc.type.specified | Article | en |
dc.bibliographicCitation.title | Emergency Medicine Australasia | en |
dc.bibliographicCitation.volume | 19 | en |
dc.bibliographicCitation.issue | 3 | en |
dc.bibliographicCitation.stpage | 223 | en |
dc.bibliographicCitation.endpage | 228 | en |
dc.publisher.place | West Melbourne | en |
dc.subject.healththesaurus | EARLY DIAGNOSIS | en |
dc.subject.healththesaurus | FEMALE | en |
dc.subject.healththesaurus | FRACTURES - BONE - RADIOGRAPHY | en |
dc.subject.healththesaurus | HUMANS | en |
dc.subject.healththesaurus | MAGNETIC RESONANCE IMAGING | en |
dc.subject.healththesaurus | MALE | en |
dc.subject.healththesaurus | PREDICTIVE VALUE OF TESTS | en |
dc.subject.healththesaurus | PROSPECTIVE STUDIES | en |
dc.subject.healththesaurus | SCAPHOID BONE - INJURIES | en |
dc.subject.healththesaurus | SCAPHOID BONE - RADIOGRAPHY | en |
dc.subject.healththesaurus | SENSITIVITY AND SPECIFICITY | en |
dc.subject.healththesaurus | TOMOGRAPHY - X-RAY COMPUTED - METHODS | en |
dc.subject.healththesaurus | RADIOGRAPHY | en |
dc.date.issuedbrowse | 2007-01-01 | |
Appears in Collections: | Research Output |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.