| Predictors of fracture following suspected injury to the scaphoid. | |
| | |
MedLine Citation:
|
PMID: 22733954 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
A prospective study was performed to develop a clinical prediction rule that incorporated demographic and clinical factors predictive of a fracture of the scaphoid. Of 260 consecutive patients with a clinically suspected or radiologically confirmed scaphoid fracture, 223 returned for evaluation two weeks after injury and formed the basis of our analysis. Patients were evaluated within 72 hours of injury and at approximately two and six weeks after injury using clinical assessment and standard radiographs. Demographic data and the results of seven specific tests in the clinical examination were recorded. There were 116 (52%) men and their mean age was 33 years (13 to 95; sd 17.9). In 62 patients (28%) a scaphoid fracture was confirmed. A logistic regression model identified male gender (p = 0.002), sports injury (p = 0.004), anatomical snuff box pain on ulnar deviation of the wrist within 72 hours of injury (p < 0.001), and scaphoid tubercle tenderness at two weeks (p < 0.001) as independent predictors of fracture. All patients with no pain at the anatomical snuff box on ulnar deviation of the wrist within 72 hours of injury did not have a fracture (n = 72, 32%). With four independently significant factors positive, the risk of fracture was 91%. Our study has demonstrated that clinical prediction rules have a considerable influence on the probability of a suspected scaphoid fracture. This will help improve the use of supplementary investigations where the diagnosis remains in doubt. |
| | |
Authors:
|
A D Duckworth; G A Buijze; M Moran; A Gray; C M Court-Brown; D Ring; M M McQueen |
Related Documents
:
|
22653614 - The effects of local vanadium treatment on angiogenesis and chondrogenesis during fract... 22639504 - Pediatric facial injuries: it's management. 11168234 - Incorporation of composite bone implants in the facial skeleton. 22381474 - Ectopic bone formation by 3d porous calcium phosphate-ti6al4v hybrids produced by perfu... 11301504 - Early wrist arthrodesis for irreparable intra-articular distal radial fractures. 2358504 - A comparative study of maxillo-facial trauma in bristol and bordeaux. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Journal of bone and joint surgery. British volume Volume: 94 ISSN: 0301-620X ISO Abbreviation: J Bone Joint Surg Br Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-06-26 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0375355 Medline TA: J Bone Joint Surg Br Country: England |
Other Details:
|
Languages: eng Pagination: 961-8 Citation Subset: AIM; IM |
Affiliation:
|
Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SU, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Does early administration of bisphosphonate affect fracture healing in patients with intertrochanter...
Next Document: The value of T1-weighted coronal MRI scans in diagnosing occult fracture of the hip.