Property | Value |
Name | Efficacy of clinical tests in diagnosis of scaphoid fracture |
Description | Research article:- Abhijeet Shroff1,Subhash Puri2*, (COL) S. K. Biswas3, Sahil Sanghi4, Sandeep C4& Pranav Patel4. 1Assistant Professor,2Professor,3Professor and head,4Resident, Dept of Orthopaedics, Dr. D. Y. Patil Medical College, Pune, Maharashtra, India.
Abstract: Background: The Scaphoid bone is the commonest carpal bone to be fractured in the wrist injuries. The actual number of scaphoid fractures amongst all cases diagnosed clinically is small. For making the definitive diagnosis of scaphoid fracture, along with clinical suspicion , patient has to undergo intial and follow up radiographs. In view of this picture, patient should be clinically assessed and confirmed radiologically. Aim: To improve this situation, this study was undertaken at Dr. Dy Patil hospital, pimpiri, Pune,India. The objective was to rule out to how much extent the clinical signs help to make the definitive diagnosis in scaphoid fractures. Material & Methods: 82 patients were followed up to assess for how much extent the clinically suspected patients were diagnosed radiographically. Result: Out of 82, 21 patients were diagnosed with scaphoid fracture by clinical evaluation and by day1 & day 14 radiographs. Conclusion: The efficacy of clinical signs in diagnosing fracture scaphoid can be improved followed by serial radiographical evaluation for 2 weeks. Thus We conclude, with the high clinical suspicion by evaluating all the three clinical signs [Anatomical Snuffbox Tenderness(ASBT), Scaphoid Compression Tenderness(SCT),Scaphoid Tubercle Tenderness(STT)]following initial & day 14 radiographs ,helps in diagnosing scaphoid fractures for a better extent.
Key Words:- Scaphoid fracture, Clinical signs, Clinical & radiological diagnosis.
References:- 1.Tai C.C. et al.: Management of suspected scaphoid fractures in accident and emergency departments - time for new guidelines. Annals of the Royal College of Surgeons of England2005; 87 (5): 353-7. 2.T. Grant Phillips, Andrew M. Reibach , W. Paul Slomiany: Diagnosis and Management of Scaphoid Fractures.American academy of family physicians. 2004 Sep 1;70(5):879-84. 3.Schubert HE. Scaphoid fracture. Review of diagnostic tests and treatment. Can Fam Physician 2000;46:1825–32. 4.Freeland P. Scaphoid tubercle tenderness: a better indicator of scaphoid fractures? Arch Emerg Med. 1989;6:46–50. 5.ChenSC.The Scaphoid Compression Test. J Hand Surg Br1989;14B:3235. 6.Dias JJ, Thompson J, Barton NJ et al.: Suspected scaphoid fractures. The value of radiographs. Journal of Bone and Joint Surgery (Br). 1990; 72: 98-101. 7.Greene WB. Essentials of musculoskeletal care. 2d ed. Rosemont, Ill.: American Academy of Orthopaedic Surgeons 2001:252–4. 8.Waizenegger M, Barton N.J., Davis T.R.C. et al.: Clinical signs in scaphoid fractures. Journal of Hand Surgery (Br) 1994; 19: 743-7. 9.Fractures of the carpal scaphoid [editorial]. BMJ 1981;283:571-2. 10.Tiel-van Buul MM, van Beek EJ, Borm JJ, Gubler FM, Broekhuizen AH, van Royen EA. The value of radiographs and bone scintigraphy in suspected scaphoid fracture. A statistical analysis. J Hand Surg [Br]. 1993;18:403–6. 11.Grover R: Clinical assessment of scaphoid injuriesand the detection of fractures. Journal of Hand Surgery (Br): 21B 1996; 3: 341-3.
Copyright © 2013 Puri Subhash et al., This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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