Journal article

Early computerized tomography accurately determines the presence or absence of scaphoid and other fractures

Jaycen Cruickshank, Alex Meakin, Ross Breadmore, David Mitchell, Steven Pincus, Thomas Hughes, Bronwyn Bently, Mark Harris, Austin Vo



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 predictiv..

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University of Melbourne Researchers