The diagnostic management of suspected scaphoid fracture

M. M. C. Tiel-van Buul*, W. Roolker, A. H. Broekhuizen, E. J. R. van Beek

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

59 Citations (Scopus)

Abstract

The role of radiography and bone scintigraphy in the diagnostic management of patients with clinically suspected scaphoid fracture after carpal injury is reviewed. Evidence is provided that bone scintigraphy is indicated in patients with negative initial scaphoid radiographs. A normal bone scan excludes scaphoid fracture, and a positive bone scan sufficiently confirms the presence of clinically relevant scaphoid fracture. Furthermore, this review assesses the possibility of non-invasive additional radiographs, for the diagnosis or exclusion of scaphoid fracture as a means of avoiding bone scintigraphy in patients with negative first-day X-series.
Original languageEnglish
Pages (from-to)1-8
JournalInjury
Volume28
Issue number1
DOIs
Publication statusPublished - Jan 1997
Externally publishedYes

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