18. Occult Scaphoid Fractures

  1. Jesse M. Pines1,2,
  2. Christopher R. Carpenter3,4,
  3. Ali S. Raja5 and
  4. Jeremiah D. Schuur5

Published Online: 8 NOV 2012

DOI: 10.1002/9781118482117.ch18

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition

How to Cite

Pines, J. M., Carpenter, C. R., Raja, A. S. and Schuur, J. D. (2012) Occult Scaphoid Fractures, in Evidence-Based Emergency Care: Diagnostic Testing and Clinical Decision Rules, Second Edition, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118482117.ch18

Author Information

  1. 1

    Center for Healthcare Quality, George Washington University, Washington, DC, USA

  2. 2

    Emergency Medicine and Health Policy, George Washington University, Washington, DC, USA

  3. 3

    Evidence Based Medicine, Washington University, St. Louis, MO, USA

  4. 4

    Division of Emergency Medicine, Barnes Jewish Hospital, Washington University, St. Louis, MO, USA

  5. 5

    Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA

Publication History

  1. Published Online: 8 NOV 2012
  2. Published Print: 7 NOV 2012

ISBN Information

Print ISBN: 9780470657836

Online ISBN: 9781118482117

SEARCH

Keywords:

  • occult scaphoid fractures;
  • suspicion for a scaphoid fracture, and mechanism of injury;
  • missed scaphoid fractures and poor outcomes;
  • scaphoid, or carpal navicular, fractured carpal bones;
  • scaphoid diagnosis failure in ED, leading to avascular necrosis;
  • wrist and its immobilization, imperative;
  • MRI not as obtainable in EDs, unlike CT imaging;
  • test performance of BS, MRI, CT, in scaphoid fracture detection;
  • complications from non-union/avascular necrosis, in occult scaphoid;
  • MRI sensitivity/specificity over BS, in occult scaphoid fractures

Summary

This chapter contains sections titled:

  • Background

  • Clinical question

  • Comments

  • References