Abstract

All patients with acute scaphoid fractures treated at our hospital in a 4-year period that had a CT scan and plain radiographs were evaluated. The maximum displacement seen on either AP or lateral X-rays was measured as well as the amount of palmar flexion through the fracture as seen on the lateral X-ray. The differences were calculated and the mean of the sum of the differences was calculated.

Highlights

  • Radiographs are routinely used to diagnose and evaluate scaphoid fracture displacement and angulation [1-9]

  • 103 patients radiographic files were evaluated and 43 were found to have CT scans through the longitudinal axis of the scaphoid as well as AP and lateral plain radiographs taken within one week of the CT in acute fractures

  • The average displacement seen on the CT was 1.85mm with an average of 50.9 degrees of palmar flexion through the fracture

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Summary

Introduction

Radiographs are routinely used to diagnose and evaluate scaphoid fracture displacement and angulation [1-9]. The amount of angulation and displacement is used to determine whether or not a patient would benefit from non-operative or operative management [10-12]. The accuracy of plain radiographs is often taken for granted and has not been validated with other imaging modalities that are more accurately utilized for fracture displacement and angulation. We compared CT scanning and radiographic imaging to determine the relationship between measurements. The differences were calculated and the mean of the sum of the differences was calculated

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