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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
- Roentgenographic diagnosis of the painful wrist.Clin Orthop. 1984; 187: 52
- Significance of a hot spot on the bone scan after carpal injury—evaluation by computed tomography.Eur J Nucl Med. 1993; 20: 159
- Isotope bone imaging in suspected scaphoid trauma.Br J Radiol. 1981; 54: 762
- The navicular fat stripe.AJR. 1975; 124: 25
- The pronator quadratus sign: its classification and diagnostic usefulness for injury and inflammation of the wrist.J Hand Surg [Br]. 1989; 14B: 80
- Diagnosing scaphoid fractures: radiographs cannot be used as a gold standard.Injury. 1992; 23: 77
- The fractured scaphoid: natural history and factors influencing outcome.J Bone Joint Surg [Br]. 1981; 63B: 225
- The appearance of bone scans following fractures, including immediate and long term studies.J Nucl Med. 1979; 20: 1227
- 99-Tc-mMDP bone scanning of injuries of the carpal scaphoid.Injury. 1988; 19: 14
- Observation on the use of 99m-Tc phosphate imaging in peripheral bone trauma.Radiology. 1976; 119: 637
Article info
Publication history
Accepted:
May 23,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.