Diagnosis Of Scaphoid Fractures Research Articles

Occult scaphoid fracture: a diagnostic enigma.

In a prospective study, 38 patients with so-called "wrist sprains" and a clinical nonradiological diagnosis of scaphoid fracture were immobilized in a plaster cast for 2 weeks. At 2 weeks, six patients were found to have a complete fracture of the scaphoid through the waist. In view of this high incidence (15.8%) of occult scaphoid fracture, it is once again suggested that all cases of wrist sprains where scaphoid fracture is suspected be immobilized for a 2-week period.

Liquid crystal thermography in the diagnosis of scaphoid fractures.

Liquid crystal thermography in the diagnosis of scaphoid fractures.

Ultrasound in the diagnosis of scaphoid fractures.

A prospective study of the possibility of confirming clinically suspected scaphoid fractures was carried out over one year. Analysis of the results suggest that ultrasound scanning of suspect scaphoid fractures is a reliable method of assessing this condition. It has one weakness in that the diagnosis is based on subjective sensation and this may at times be faulty. Our results, however, suggest that once practice in the technique has been achieved, then mistakes are rarely made.

Ultrasound in the diagnosis of scaphoid fractures

A prospective study of the possibility of confirming clinically suspected scaphoid fractures was carried out over one year. Analysis of the results suggest that ultrasound scanning of suspect scaphoid fractures is a reliable method of assessing this condition. It has one weakness in that the diagnosis is based on subjective sensation and this may at times be faulty. Our results, however, suggest that once practice in the technique has been achieved, then mistakes are rarely made.

Fracture and ischemic necrosis of the immature scaphoid

The progressively ossifying scaphoid of the child is well protected but is not immune to injury. The diagnosis of scaphoid fracture may be difficult when the fracture occurs through the osteochondral interface. Nonunion and ischemic necrosis of the proximal pole fragment--complications more often seen in adults sustaining scaphoid fracture--may occur in children, as shown by the young patient presented here.