| The suspected scaphoid fracture. How useful is a unit policy? | |
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MedLine Citation:
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PMID: 9725065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The records of 196 patients presenting with a clinical suspicion of scaphoid injury were reviewed to evaluate how junior accident and emergency doctors in a teaching hospital managed these patients. The management that was provided was assessed, and it was ascertained whether the presence of a unit policy meant that accident and emergency junior trainees managed patients accordingly. We found that 82% of patients were immobilized for 2 to 13 weeks, with 60 patients (37%) being immobilized for 6 weeks or more. Of the 196 patients presenting with clinical suspicion of scaphoid fracture, a definite scaphoid fracture was found in only 12%. Less than half of the patients (46%) were reviewed by senior accident and emergency doctors or by senior orthopaedic surgeons. Despite the presence of a unit policy, patients were being immobilized for prolonged periods in the absence of a radiographically evident scaphoid fracture. Advice from more experienced members of the staff was not being sought in dubious cases. |
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Authors:
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J N'Dow; K N'Dow; N Maffulli; G Page |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Bulletin (Hospital for Joint Diseases (New York, N.Y.)) Volume: 57 ISSN: 0018-5647 ISO Abbreviation: Bull Hosp Jt Dis Publication Date: 1998 |
Date Detail:
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Created Date: 1998-10-29 Completed Date: 1998-10-29 Revised Date: 2005-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9215948 Medline TA: Bull Hosp Jt Dis Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 93-5 Citation Subset: IM |
Affiliation:
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Department of Accident and Emergency, Aberdeen Royal Hospitals NHS Trust, Foresterhill, Scotland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Carpal Bones
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injuries*,
radiography Casts, Surgical Clinical Protocols Diagnostic Errors Emergency Service, Hospital / standards* Fractures, Bone / radiography, therapy* Hospitals, Teaching / standards Humans Medical Staff, Hospital / education, standards Physical Examination Referral and Consultation Scotland |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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