18. Occult Scaphoid Fractures

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

Published Online: 8 NOV 2012

DOI: 10.1002/9781118482117.ch18

Book Title

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

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

Additional Information

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

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CHAPTER TOOLS

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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

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