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MRI shows a high incidence of carpal fractures in children with posttraumatic radial-sided wrist tenderness

Jørgsholm, Peter LU ; Thomsen, Niels LU ; Besjakov, Jack LU ; Abrahamsson, Sven LU and Björkman, Anders LU (2016) In Acta Orthopaedica 87(5). p.533-537
Abstract

Background and purpose — The epidemiology and optimal diagnostics of wrist injuries in children are not known. We describe fractures revealed by magnetic resonance imaging (MRI) in a prospective population of children and adolescents with posttraumatic radial-sided wrist tenderness, and compare the diagnostic value of radiographs and computed tomography (CT) with that of MRI. Patients and methods — From 2004 to 2007, patients less than 18 years of age who presented at our emergency department were included in the study. 90 wrists in 89 patients underwent clinical, radiographic, and low-field MRI investigation. If plain radiographs or MRI revealed a scaphoid fracture, a supplementary CT scan was performed. Sensitivity and specificity of... (More)

Background and purpose — The epidemiology and optimal diagnostics of wrist injuries in children are not known. We describe fractures revealed by magnetic resonance imaging (MRI) in a prospective population of children and adolescents with posttraumatic radial-sided wrist tenderness, and compare the diagnostic value of radiographs and computed tomography (CT) with that of MRI. Patients and methods — From 2004 to 2007, patients less than 18 years of age who presented at our emergency department were included in the study. 90 wrists in 89 patients underwent clinical, radiographic, and low-field MRI investigation. If plain radiographs or MRI revealed a scaphoid fracture, a supplementary CT scan was performed. Sensitivity and specificity of radiographs and CT for diagnosis of scaphoid fractures was calculated using MRI as the reference standard. Results — 74 fractures were diagnosed in 61 of 90 wrists using MRI; 48 wrists had a scaphoid fracture, 8 had a distal radius fracture, 7 had a capitate fracture, and 3 had a triquetrum fracture. The most common combination of fractures was scaphoid and capitate. The sensitivity of radiographs for visualization of scaphoid fractures was 54% and the specificity was 100%. The sensitivity for other fractures was

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Orthopaedica
volume
87
issue
5
pages
5 pages
publisher
Taylor & Francis
external identifiers
  • Scopus:84978926993
ISSN
1745-3674
DOI
10.1080/17453674.2016.1210940
language
English
LU publication?
yes
id
abf7d2bf-6226-4bdb-a3d4-3c5a50575c05
date added to LUP
2016-08-15 16:08:33
date last changed
2016-11-11 08:43:06
@misc{abf7d2bf-6226-4bdb-a3d4-3c5a50575c05,
  abstract     = {<p>Background and purpose — The epidemiology and optimal diagnostics of wrist injuries in children are not known. We describe fractures revealed by magnetic resonance imaging (MRI) in a prospective population of children and adolescents with posttraumatic radial-sided wrist tenderness, and compare the diagnostic value of radiographs and computed tomography (CT) with that of MRI. Patients and methods — From 2004 to 2007, patients less than 18 years of age who presented at our emergency department were included in the study. 90 wrists in 89 patients underwent clinical, radiographic, and low-field MRI investigation. If plain radiographs or MRI revealed a scaphoid fracture, a supplementary CT scan was performed. Sensitivity and specificity of radiographs and CT for diagnosis of scaphoid fractures was calculated using MRI as the reference standard. Results — 74 fractures were diagnosed in 61 of 90 wrists using MRI; 48 wrists had a scaphoid fracture, 8 had a distal radius fracture, 7 had a capitate fracture, and 3 had a triquetrum fracture. The most common combination of fractures was scaphoid and capitate. The sensitivity of radiographs for visualization of scaphoid fractures was 54% and the specificity was 100%. The sensitivity for other fractures was </p>},
  author       = {Jørgsholm, Peter and Thomsen, Niels and Besjakov, Jack and Abrahamsson, Sven and Björkman, Anders},
  issn         = {1745-3674},
  language     = {eng},
  month        = {07},
  number       = {5},
  pages        = {533--537},
  publisher    = {ARRAY(0xa165b40)},
  series       = {Acta Orthopaedica},
  title        = {MRI shows a high incidence of carpal fractures in children with posttraumatic radial-sided wrist tenderness},
  url          = {http://dx.doi.org/10.1080/17453674.2016.1210940},
  volume       = {87},
  year         = {2016},
}