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Review
. 2019 Aug;35(3):241-257.
doi: 10.1016/j.hcl.2019.03.001. Epub 2019 May 11.

Imaging for Acute and Chronic Scaphoid Fractures

Kimberly K Amrami  1 , Matthew A Frick  2 , Jane M Matsumoto  2
Affiliations
Review

Imaging for Acute and Chronic Scaphoid Fractures

Kimberly K Amrami et al. Hand Clin. 2019 Aug.

Abstract

The scaphoid is the most commonly fractured bone in the wrist but 20% to 40% of scaphoid fractures are radiographically occult. Delayed or misdiagnosis can have significant consequences with late complications such as nonunion, malunion, or the development of avascular necrosis in the proximal pole. After initial negative radiographs, advanced cross-sectional imaging, including CT and MRI, ultimately may provide more accurate and rapid diagnosis than conventional radiography. With chronic fractures, the preferred modality depends on the clinical question. New techniques are evolving that will further advance imaging for diagnosis and treatment of scaphoid fractures.

Keywords: 3-D modeling; CT; Dynamic contrast enhancement; MRI; Occult scaphoid fracture.

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