B. Munk et al., DIAGNOSIS OF SCAPHOID FRACTURES - A PROSPECTIVE MULTICENTER STUDY OF 1,052 PATIENTS WITH 160 FRACTURES, Acta orthopaedica Scandinavica, 66(4), 1995, pp. 359-360
In a prospective multicenter study of 1,052 patients with clinical sig
ns of a scaphoid fracture, mammographic films and fine intensifying sc
reens were used at the radiographic examination, 5 standardized projec
tions including 3 special projections focused on the scaphoid were tak
en. 150 fractures were diagnosed at the first examination but in 10 ca
ses the fracture was first diagnosed at a second radiographic examinat
ion after 10-14 days. The second examination still seems mandatory des
pite the use of high quality radiographs with optimal spatial resoluti
on and contrast, and the value of supplementary special projections.