Background: Scaphoid fractures are the most common type of carpal fractures.
Objectives: The aim of the study was to compare the diagnostic value of panoramic and conventional radiographs of the wrist in scaphoid fractures.
Patients And Methods: The panoramic and conventional radiographs of 122 patients with acute and chronic wrist trauma were studied. The radiographs were analyzed and examined by two independent radiologist observers; one physician radiologist and one maxillofacial radiologist. The final diagnosis was made by an orthopedic specialist. Kappa test was used for statistical calculations, inter- and intra-observer agreement and correlation between the two techniques.
Results: Wrist panoramic radiography was more accurate than conventional radiography for ruling out scaphoid fractures. There was an agreement in 85% or more of the cases. Agreement values were higher with better inter and intra observer agreement for panoramic examinations than conventional radiographic examinations.
Conclusion: The panoramic examination of the wrist is a useful technique for the diagnosis and follow-up of scaphoid fractures. Its use is recommended as a complement to conventional radiography in cases with inconclusive findings.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618900 | PMC |
| http://dx.doi.org/10.5812/iranjradiol.10099 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Outcome of follow-up computed tomography of suspected occult scaphoid fracture after normal radiography.
Emerg Radiol
January 2025
Department of Orthopaedics, Institute of Clinical Sciences, Lund University, Lund, Sweden.
Purpose: To evaluate the rate of missed scaphoid fractures on follow-up computed tomography (CT) for suspected occult scaphoid fracture after normal radiography with residual radial-sided wrist pain.
Methods: In a retrospective analysis, wrist CT during a five-year period was analyzed. The CT examinations and radiological reports were re-evaluated.
Pediatric Scaphoid Nonunions: Does Insurance Status Play a Role?
J Pediatr Orthop
February 2025
Orthopaedic Surgery and Sports Medicine, Akron Children's Hospital, Columbus, OH.
Article Synopsis
- The study aimed to assess how insurance status and socioeconomic factors influence treatment timelines and outcomes for scaphoid nonunions in children.
- A review of patient charts from a pediatric hospital found no significant differences in treatment delays or postoperative outcomes between privately insured and underinsured patients.
- Results indicated comparable recovery outcomes, including rates of fracture union and levels of pain or mobility issues, regardless of insurance status, suggesting equitable access to care across both groups.
Introduction: The goal of this work is to determine, using the analysis of our own patient group and current professional publications, in which cases fractures of the scaphoid waist can be treated conservatively by short-term plaster fixation with a low risk of non-union developing.
Material And Method: A group of 19 patients (17 men and 2 women) with the mean age 31 years (range 20-43, SD 7.3) with fractures of scaphoid waist were indicated for conservative treatment.
Kinesiophobia, catastrophizing, and the duration of immobilization: A prospective study on factors associated with shoulder disability following wrist-hand injuries.
J Hand Ther
January 2025
School of Occupational Therapy, Touro University, Henderson, NV 33204, USA.
Background: Shoulder pain is a major musculoskeletal problem after wrist-hand immobilization. There is limited evidence regarding the relationship of kinesiophobia or pain catastrophizing with shoulder pain and disability after wrist-hand injury.
Purpose: To explore associations between kinesiophobia and pain catastrophizing with ipsilateral persistent shoulder disability in patients with wrist-hand injury after 6 months.
The elusive bipartite scaphoid: a rare congenital variant or misdiagnosed pseudoarthrosis? A proposal for novel radiological criteria.
Folia Morphol (Warsz)
January 2025
Department of Orthopedics and Traumatology, University Hospital Queen Giovanna-ISUL, Medical University of Sofia, Sofia, Bulgaria.
Variations in the development of carpal bones are uncommon, with the scaphoid bone typically forming from the fusion of the os centrale carpi and the radial chondrification center during embryogenesis. A bipartite scaphoid is a rare congenital disorder that occurs when these ossification centers fail to fuse, with a prevalence ranging from 0.1% to 0.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!