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Journal of Hand Surgery (British and European Volume)
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*Fractures
*Wrist Injuries and Disorders
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Articles

Low Field MRI and Scaphoid Fracture

J. LEPISTÖ, K. MATTILA, S. NIEMINEN, B. SATTLER and M. KORMANO

From the Departments of Surgery and Diagnostic Radiology, Turku University Hospital, Turku, Finland

Correspondence: Jyri Lepistö, MD, Orthopaedic Hospital of Invalid Foundation, PO Box 29, Fin-00281 Helsinki, Finland.

18 consecutive patients suspected of and treated for an acute scaphoid fracture were examined by lowfield MRI. This showed 11 fractures while seven scaphoids were considered normal. T1 weighted images showed a fracture as an area of decreased signal intensity. Two radiologically obvious fractures produced normal MR images. These fractures proved to be the result of old trauma. A wide spectrum of additional traumatic lesions in the wrists, not detected by routine X-ray analysis, were also demonstrated. These included seven fragmented triangular fibrocartilages (TFC), torn scapho-lunate ligaments in four cases and one torn triquetro-lunate ligament. Bone bruises of other carpal bones and seven other carpal fractures were also detected.

Low field MRI can be used to show scaphoid fractures and allows diagnosis of additional or simulating lesions.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 4, 539-542 (1995)
DOI: 10.1016/S0266-7681(05)80172-X


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