Online citations, reference lists, and bibliographies.
← Back to Search

The Value Of Radiographs And Bone Scintigraphy In Suspected Scaphoid Fracture

M. T. Tiel-van Buul, E. V. van Beek, J. Borm, F. Gubler, A. Broekhuizen, E. V. van Royen
Published 1993 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
The role of radiography and bone scintigraphy in the diagnostic management of suspected scaphoid fracture is controversial. Two strategies were compared for patients with initial negative radiographs: repeated radiography versus selective bone scintigraphy. Using the known positive predictive value of scintigraphy, the sensitivity and specificity of both diagnostic strategies were evaluated in a series of 78 consecutive patients. The kappa value for initial radiographs was 0.76 but decreased to 0.5 for follow-up radiographs. Similarly, sensitivity decreased from 64% to 30% in follow-up radiographs. Specificity of the bone scan was 98%. The best diagnostic strategy in the management of clinically suspected scaphoid fractures consists of initial radiography followed by bone scintigraphy in patients with negative radiographs.
This paper references
10.3109/17453677908991289
Scanning and radiology of the carpal scaphoid bone.
T. Jørgensen (1979)
10.1097/00006534-199006000-00079
Clinical fracture of the carpal scaphoid--an illusionary diagnosis.
D. S. Duncan (1985)
10.1016/S0266-7681(84)80027-3
Bone Scanning of Fractures of the Scaphoid
A. Stordahl (1984)
10.2106/00004623-199072010-00016
Magnetic resonance imaging of the femoral head after acute intracapsular fracture of the femoral neck.
K. Speer (1990)
10.1302/0301-620X.72B1.2298805
Suspected scaphoid fractures. The value of radiographs.
J. Dias (1990)
10.1177/028418518802900120
The Scaphoid Fat Stripe in the Diagnosis of Carpal Trauma
J. Andersen (1988)
10.1302/0301-620X.63B2.7217146
The fractured carpal scaphoid. Natural history and factors influencing outcome.
I. Leslie (1981)
10.5694/j.1326-5377.1955.tb37898.x
FRACTURES OF THE CARPAL NAVICULAR
Abraham S. Rothberg (1939)
A longterm study in 160 patients with clinically suspected scaphoid fracturechoice of diagnostic procedure
M.M.C. TIEL-VAN BUUL (1993)
10.1136/bmj.304.6840.1491
Statistical methods for assessing observer variability in clinical measures.
P. Brennan (1992)
Detecting fractures of the scaphoid: the value of comparative X-rays of the uninjured wrist.
Auchincloss Jm (1992)
10.1016/0020-1383(92)90035-Q
Diagnosing scaphoid fractures: radiographs cannot be used as a gold standard!
M. T. Tiel-van Buul (1992)
10.1148/RADIOLOGY.174.3.2305071
Nondisplaced fractures: spatial resolution requirements for detection with digital skeletal imaging.
M. Murphey (1990)
10.1177/028418518602700119
Radiography of the Carpal Scaphoid
S. Lindequist (1986)
10.1038/clpt.1981.18
Clinical biostatistics: LIV. The biostatistics of concordance
M. Kramer (1981)
10.1148/108.3.706
A modified view of the carpal navicular.
F. M. Ziter (1973)
10.1259/0007-1285-54-645-762
Isotope bone imaging in suspected scaphoid trauma.
E. Rolfe (1981)
10.1016/S0363-5023(79)80006-4
Bone scanning in the assessment of fractures of the scaphoid.
A. Ganel (1979)



This paper is referenced by
10.1007/S12506-012-0036-9
Wat toont een scintigrafie bij het vermoeden van een scafoïdfractuur
R. H. van Leerdam (2012)
10.1007/978-90-313-8808-0_385
Wanneer is het verantwoord een laesie van het os naviculare zelf te behandelen
A. V. Vugt (2006)
10.1016/S0221-0363(07)91342-6
Le diagnostic des fractures rcentes du scaphode : revue de la littrature
A. Blum (2007)
10.1016/S1169-8330(01)00021-7
Explorations dimagerie de la main et du poignet
B. Rousselin (2001)
10.1097/RLU.0b013e31828164da
Role of SPECT/CT Compared With MRI in the Diagnosis and Management of Patients With Wrist Trauma Occult Fractures
S. Querellou (2014)
10.1097/MEJ.0000000000000228
The management of suspected scaphoid fractures in English hospitals: a national survey
J. Smith (2016)
10.1259/bjr/72567977
Observer variation in MRI for suspected scaphoid fractures.
F. Beeres (2008)
Management of clinically suspected scaphoid fractures: a survey of current practice in Israel.
O. Chechik (2009)
10.1016/j.jhsa.2015.06.121
The Palpable Scaphoid Surface Area in Various Wrist Positions.
J. Giugale (2015)
Factors influencing success in RA programs: a survey.
R. Ludwig (2010)
10.1055/S-0039-1693147
Systematic Review of Diagnosis of Clinically Suspected Scaphoid Fractures.
H. Bäcker (2020)
10.1097/TME.0b013e3182705ede
Scaphoid fractures.
Denise R. Ramponi (2012)
10.1007/s00113-018-0470-2
Im CT übersehene Kahnbeinfraktur bei Kombinationsverletzung des Handgelenks
O. Ackermann (2018)
10.1519/SSC.0b013e318263f845
Rehabilitation and Return to Sport After Scaphoid Fractures
Helen M. Binkley (2012)
10.1016/0266-7681(94)90251-8
Scintigraphy in the Evaluation of the “Clinical” Scaphoid Fracture
M. Waizenegger (1994)
Scaphoid fractures Studies on diagnosis and treatment
B. Vinnars (2008)
10.1007/174_2010_110
Imaging of Wrist Trauma
Nigel Raby (2013)
10.1016/j.pop.2013.02.006
Treatment of hand and wrist injuries.
K. Bielak (2013)
10.3109/17453679808999055
Limited diagnostic value of macroradiography in suspected scaphoid fractures.
C. Gaebler (1998)
Diagnosis and management of scaphoid fractures.
T. G. Phillips (2004)
10.1007/978-88-470-2339-0_5
Missed Fractures in the Emergency Department
V. Miele (2012)
10.2106/00004623-200106000-00011
Intrasynovial Flexor Tendon Repair: An Experimental Study Comparing Low and High Levels of in Vivo Force During Rehabilitation in Canines
M. Boyer (2001)
10.1007/s00590-013-1372-1
Early MRI diagnostics for suspected scaphoid fractures subsequent to initial plain radiography
F. Fallahi (2013)
10.1302/0301-620x.102b4.bjj-2019-0632.r3
The interobserver reliability of the diagnosis and classification of scaphoid fractures using high-resolution peripheral quantitative CT.
A. Daniels (2020)
10.1136/emermed-2012-202219
Clinical scaphoid score (CSS) to identify scaphoid fracture with MRI in patients with normal x-ray after a wrist trauma
T. H. Bergh (2013)
10.1097/01.TA.0000124278.29127.42
Investigation of computed tomographic scan concurrent criterion validity in doubtful scaphoid fracture of the wrist.
Breederveld Rs (2004)
10.1186/s12891-019-2988-z
Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update
Patrick Krastman (2020)
10.1080/02841850802562089
Two-dimensional image fusion of planar bone scintigraphy and radiographs in patients with clinical scaphoid fracture: An imaging study
O. Henriksen (2009)
10.2106/JBJS.E.00978
A device for zone-II flexor tendon repair. Surgical technique.
B. Su (2006)
10.1177/1753193411428993
Early CT for suspected occult scaphoid fractures
J. Stevenson (2012)
10.1259/BJR/17137072
16 detector multislice CT versus skeletal scintigraphy in the diagnosis of wrist fractures: value of quantification of 99Tcm-MDP uptake.
A. Groves (2005)
Occult Scaphoid Fractures: ComparisonofMultidetectorCTand MRImaging—InitialExperience 1
M. Memarsadeghi (2006)
See more
Semantic Scholar Logo Some data provided by SemanticScholar