Imaging the problem scaphoid.
Imaging the problem scaphoid.
复制标题
对问题舟骨进行成像。
DOI：
10.1016/s0020-1383(98)00115-6
复制
发表时间：
1998
期刊：
影响因子：
2.5
通讯作者：
P. Wade
中科院分区：
文献类型：
--
作者：
C. Kitsis;M. Taylor;J. Chandey;R. Smith;J. Latham;S. Turner;P. Wade
即使在2周内，舟骨骨折也很难通过X线诊断。我们前瞻性比较了22例患者的骨扫描与MRI扫描，这些患者在2周内有持续的体征和症状提示舟状骨骨折，发现两种方法都很敏感，但MRI更特异，特别是在诊断软组织损伤如舟月韧带断裂和三角纤维软骨撕裂方面。2周时的早期MRI扫描允许临床医生在这组患者中做出适当的决定，这些患者的诊断包括：隐匿性舟状骨骨折、其他隐匿性腕骨和桡骨骨折、韧带损伤和无明显损伤的患者。MRI在确定可能与临床上隐匿性舟状骨骨折相似的损伤类型方面也很有用。
Scaphoid fractures can be difficult to diagnose on X-ray, even at 2 weeks. We have compared prospectively bone scanning versus MRI scanning in 22 patients with persistent signs and symptoms suggestive of a scaphoid fracture at 2 weeks and found both methods to be sensitive, but MRI to be more specific, particularly in diagnosing soft tissue injuries like scapho-lunate ligament ruptures and triangular fibrocartilage tears. An early MRI scan at 2 weeks allows the clinician to make the appropriate decision in this group of patients whose diagnoses include; occult scaphoid fractures, other occult carpal and radial fractures, ligamentous injuries and those without apparent injuries. MRI has also been useful in defining the group of injuries which may imitate a clinically occult scaphoid fracture.