Outcome of follow-up computed tomography of suspected occult scaphoid fracture after normal radiography
Geijer, Mats LU ; Gunnlaugsson, Eirikur LU ; Arvidsson, Linnea LU ; Österhed, Elin LU
and Tägil, Magnus
LU
(2025)
In Emergency Radiology
32(1).
p.51-57
- Abstract
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. Available clinical findings and radiologic follow-up performed during a period of a minimum of three years served as outcome reference. Results: In total, 178 examinations had been performed on 174 patients for suspect scaphoid fracture, 67 men and 107 women, showing 15 and 6 scaphoid fractures, respectively; a statistically significant sex difference (p = 0.0024). In 157 examinations, no... (More)
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. Available clinical findings and radiologic follow-up performed during a period of a minimum of three years served as outcome reference. Results: In total, 178 examinations had been performed on 174 patients for suspect scaphoid fracture, 67 men and 107 women, showing 15 and 6 scaphoid fractures, respectively; a statistically significant sex difference (p = 0.0024). In 157 examinations, no scaphoid fracture was detected on CT, instead 29 other wrist or carpal bone fractures were found. On follow-up, no missed scaphoid fractures were found. Before CT, 124 of the 157 patients had been treated with a cast. After CT, 35 patients continued with cast treatment for a median of 14 days. Conclusions: CT appears to be a reliable method for evaluating suspect scaphoid fracture as part of a diagnosis-treatment regimen including pain immobilization with a plaster cast.
(Less)
- author
- Geijer, Mats
LU
; Gunnlaugsson, Eirikur
LU
; Arvidsson, Linnea
LU
; Österhed, Elin
LU
and Tägil, Magnus
LU
- organization
- publishing date
- 2025-02
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Computed tomography, Diagnosis, Occult fracture, Scaphoid fracture
- in
- Emergency Radiology
- volume
- 32
- issue
- 1
- pages
- 7 pages
- publisher
- Springer Science and Business Media B.V.
- external identifiers
-
- scopus:85217405856
- pmid:39775997
- ISSN
- 1070-3004
- DOI
- 10.1007/s10140-024-02307-0
- language
- English
- LU publication?
- yes
- id
- 99d69ed6-9d7d-445c-9230-3e165bbf765a
- date added to LUP
- 2025-03-24 15:20:27
- date last changed
- 2025-07-14 22:02:15
@article{99d69ed6-9d7d-445c-9230-3e165bbf765a,
abstract = {{<p>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. Available clinical findings and radiologic follow-up performed during a period of a minimum of three years served as outcome reference. Results: In total, 178 examinations had been performed on 174 patients for suspect scaphoid fracture, 67 men and 107 women, showing 15 and 6 scaphoid fractures, respectively; a statistically significant sex difference (p = 0.0024). In 157 examinations, no scaphoid fracture was detected on CT, instead 29 other wrist or carpal bone fractures were found. On follow-up, no missed scaphoid fractures were found. Before CT, 124 of the 157 patients had been treated with a cast. After CT, 35 patients continued with cast treatment for a median of 14 days. Conclusions: CT appears to be a reliable method for evaluating suspect scaphoid fracture as part of a diagnosis-treatment regimen including pain immobilization with a plaster cast.</p>}},
author = {{Geijer, Mats and Gunnlaugsson, Eirikur and Arvidsson, Linnea and Österhed, Elin and Tägil, Magnus}},
issn = {{1070-3004}},
keywords = {{Computed tomography; Diagnosis; Occult fracture; Scaphoid fracture}},
language = {{eng}},
number = {{1}},
pages = {{51--57}},
publisher = {{Springer Science and Business Media B.V.}},
series = {{Emergency Radiology}},
title = {{Outcome of follow-up computed tomography of suspected occult scaphoid fracture after normal radiography}},
url = {{http://dx.doi.org/10.1007/s10140-024-02307-0}},
doi = {{10.1007/s10140-024-02307-0}},
volume = {{32}},
year = {{2025}},
}