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Journal of Hand Surgery (British and European Volume)
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Articles

Occult Fractures of the Scaphoid

The diagnostic usefulness and indirect economic repercussions of radiography versus magnetic resonance scanning

C. KUKLA
C. GAEBLER
M. J. BREITENSEHER
S. TRATTNIG
V. VÉCSEI

From the Departments of Trauma and Radiodiagnostics, Vienna University Hospital, Vienna, Austria

Correspondence: Dr C. Kukla, In den Siebnern 6/2, A-2102 Hagenbrunn, Austria.

Scaphoid fractures that are not visible on initial radiographs are notoriously difficult to diagnose. This prospective study compared four-view plain radiography at an average of 14 days after injury, with high-definition macroradiography and magnetic resonance imaging at presentation. Initial magnetic resonance imaging was superior to repeat scaphoid radiography for the confirmation or exclusion of fractures as well as for the detection of associated wrist injuries. Macroradiography was unsuitable for screening for occult scaphoid fractures.

Journal of Hand Surgery (British and European Volume), Vol. 22, No. 6, 810-813 (1997)
DOI: 10.1016/S0266-7681(97)80455-X
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