Carpus: Trauma

Clinical prediction rule for suspected scaphoid fractures: A Prospective Cohort Study

Rhemrev SJ, Beeres FJP, van Leerdam RH, et al (Medisch Centrum Haaglanden, The Hague, The Netherlands; et al) Injury 41:1026-1030, 2010^§

Abstract

Background

The low prevalence of true fractures amongst suspected fractures magnifies the shortcomings of the diagnostic tests used to triage suspected scaphoid fractures.

Purpose

The objective was to develop a clinical prediction rule that would yield a subset of patients who were more likely to have a scaphoid fracture than others who lacked the subset criteria.

Methods

Seventy-eight consecutive patients diagnosed with a suspected scaphoid fracture were included. Standardised patient history, physical examination, range of motion (ROM) and strength measurements were studied. The reference standard for a true fracture was based on the results of magnetic resonance imaging, bone scintigraphy, follow-up radiographs and examination.

Results

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