| Early computerized tomography accurately determines the presence or absence of scaphoid and other fractures. | |
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MedLine Citation:
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PMID: 17564689 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jaycen Cruickshank; Alex Meakin; Ross Breadmore; David Mitchell; Steven Pincus; Thomas Hughes; Bronwyn Bently; Mark Harris; Austin Vo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Emergency medicine Australasia : EMA Volume: 19 ISSN: 1742-6731 ISO Abbreviation: Emerg Med Australas Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-13 Completed Date: 2007-09-13 Revised Date: 2007-09-17 |
Medline Journal Info:
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Nlm Unique ID: 101199824 Medline TA: Emerg Med Australas Country: Australia |
Other Details:
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Languages: eng Pagination: 223-8 Citation Subset: IM |
Affiliation:
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Emergency Department, Ballarat Health Services, Ballarat, Victoria, Australia. jaycenc@bhs.org.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Early Diagnosis Female Fractures, Bone / radiography* Humans Magnetic Resonance Imaging Male Predictive Value of Tests Prospective Studies Scaphoid Bone / injuries*, radiography* Sensitivity and Specificity Tomography, X-Ray Computed / methods* |
| Comments/Corrections | |
Erratum In:
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Emerg Med Australas. 2007 Aug;19(4):387 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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