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Paper| Volume 26, ISSUE 7, P479-482, September 1995

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The suspected scaphoid fracture and isotope bone imaging

  • J.N. Brown
    Correspondence
    Requests for reprints should be addressed to: J. N. Brown FRCS, Department of Orthopaedic Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK.
    Affiliations
    Orthopaedic Department, Royal Hallamshire Hospital, Sheffield, UK
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      Abstract

      Carpal trauma often results in scaphoid injury. A small group of patients have clinical evidence of scaphoid fracture but radiographs fail to demonstrate bony damage. Persistent pain warrants isotope bone scanning. This report reviews the results of 36 consecutive bone scans performed for the suspected scaphoid injury and reviews radiographs taken on presentation. In all, 18 diagnosed fractures: there were three of the scaphoid, six of the distal radius and nine of other carpal bones. It was possible, with hindsight, to see eight fractures on the original radiographs. In patients with continued pain over the radial side of the carpus, attention should be given to the other carpal bones and the distal radius and not just the scaphoid.
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      References

        • Guilula LA
        • Destouet JM
        • Weeks PM
        • Young LV
        • Wray RC
        Roentgenographic diagnosis of the painful wrist.
        Clin Orthop. 1984; 187: 52
        • Tiel-van Buul MMC
        • van Beek EJR
        • Dijkstra PF
        • Bakker AdJ
        • Broekhuizen TH
        • van Royen EA
        Significance of a hot spot on the bone scan after carpal injury—evaluation by computed tomography.
        Eur J Nucl Med. 1993; 20: 159
        • Rolfe EB
        • Garvie NW
        • Khan MA
        • Ackery DM
        Isotope bone imaging in suspected scaphoid trauma.
        Br J Radiol. 1981; 54: 762
        • Terry DW
        • Ramin JE
        The navicular fat stripe.
        AJR. 1975; 124: 25
        • Sasaki Y
        • Sugioka Y
        The pronator quadratus sign: its classification and diagnostic usefulness for injury and inflammation of the wrist.
        J Hand Surg [Br]. 1989; 14B: 80
        • Tiel-van Buul MMC
        • van Beek EJR
        • Broekhuizen AH
        • Nooitgerdacht EA
        • Davids PHP
        • Bakker AJ
        Diagnosing scaphoid fractures: radiographs cannot be used as a gold standard.
        Injury. 1992; 23: 77
        • Leslie IJ
        • Dickson RA
        The fractured scaphoid: natural history and factors influencing outcome.
        J Bone Joint Surg [Br]. 1981; 63B: 225
        • Matin P
        The appearance of bone scans following fractures, including immediate and long term studies.
        J Nucl Med. 1979; 20: 1227
        • Young MRA
        • Lowry JH
        • Laird JD
        • Ferguson WR
        99-Tc-mMDP bone scanning of injuries of the carpal scaphoid.
        Injury. 1988; 19: 14
        • Rosenthall L
        • Hill RO
        • Chuang S
        Observation on the use of 99m-Tc phosphate imaging in peripheral bone trauma.
        Radiology. 1976; 119: 637