SynthesisClinical orthopaedics and related research2010
Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis.
Synthesis in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 144 citations in OpenAlex.
- The use of cone-beam computed tomography (CBCT) in radiocarpal fractures: a diagnostic test accuracy meta-analysis.Skeletal radiology · 2022Pooled it
- Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.BMC musculoskeletal disorders · 2020Pooled it
- The diagnostic accuracy of cross-sectional imaging for detecting acute scaphoid fractures in children: a systematic review.The British journal of radiology · 2018Pooled it
- Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures in patients with negative plain radiographs.The Cochrane database of systematic reviews · 2015Pooled it
- Can we avoid casting for suspected scaphoid fractures? A multicenter randomized controlled trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Trial
- Fracture Risk in Men with Metastatic Prostate Cancer Treated With Radium-223.Clinical genitourinary cancer · 2021Trial
- Surgical fixation compared with cast immobilisation for adults with a bicortical fracture of the scaphoid waist: the SWIFFT RCT.Health technology assessment (Winchester, England) · 2020Trial
- Clinical and cost implications of using immediate MRI in the management of patients with a suspected scaphoid fracture and negative radiographs results from the SMaRT trial.The bone & joint journal · 2019Trial
- Imaging of hand and wrist injuries in alpine skiing: common injury mechanisms, imaging findings, and treatment.Skeletal radiology · 2026Review
- Outcome of follow-up computed tomography of suspected occult scaphoid fracture after normal radiography.Emergency radiology · 2025Article
- Scaphoid Fractures and Nonunion: A Survey-based Review of Hand Surgeon's Practice and the Evidence.Journal of hand surgery global online · 2024Article
- Article
- Delayed diagnosis of carpal scaphoid fracture in a young boy.Emergency radiology · 2022Article
- Is physical examination as effective as magnetic resonance imaging in the diagnosis of suspected pediatric scaphoid fractures?Northern clinics of Istanbul · 2021Article
- Scaphoid fractures: has magnetic resonance imaging become a cost-effective alternative to definitive diagnosis?Irish journal of medical science · 2020Article
- [Occult scaphoid fractures: current evidence and diagnostic algorithm].Der Unfallchirurg · 2020Article
- Systematic Review of Diagnosis of Clinically Suspected Scaphoid Fractures.Journal of wrist surgery · 2020Article
- Single-shot CT after wrist trauma: impact on detection accuracy and treatment of fractures.Skeletal radiology · 2019Article
- [Advances in diagnosis and treatment of acute scaphoid fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019Review
- Cone-beam computed tomography compared to X-ray in diagnosis of extremities bone fractures: A study of 198 cases.European journal of radiology open · 2019Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledImaging protocols for suspected scaphoid fractures among investigators and hospitals are markedly inconsistent. We performed a systematic review and meta-analysis to assess and compare the diagnostic performance of bone scintigraphy, MRI, and CT for diagnosing suspected scaphoid fractures. Twenty-six studies were included. Sensitivity, specificity, and diagnostic odds ratio were pooled separately and summary receiver operating characteristic curves were fitted for each modality. Meta-regression analyses were performed to compare these modalities. We obtained likelihood ratios derived from the pooled sensitivity and specificity and, using Bayes' theorem, calculated the posttest probability by application of the tests. The pooled sensitivity, specificity, natural logarithm of the diagnostic odds ratio, and the positive and negative likelihood ratios were, respectively, 97%, 89%, 4.78, 8.82, and 0.03 for bone scintigraphy; 96%, 99%, 6.60, 96, and 0.04 for MRI; and 93%, 99%, 6.11, 93, and 0.07 for CT. Bone scintigraphy and MRI have equally high sensitivity and high diagnostic value for excluding scaphoid fracture; however, MRI is more specific and better for confirming scaphoid fracture. We believe additional studies are needed to assess diagnostic performance of CT, especially paired design studies or randomized controlled trials to compare CT with MRI or bone scintigraphy. LEVEL OF EVIDENCE: Level III, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.