ArticleEmergency radiology2018
Does radiography still have a significant diagnostic role in evaluation of acute traumatic wrist injuries? A prospective comparative study.
Article in Emergency radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 10 citations in OpenAlex.
- Critical evaluation of deep neural networks for wrist fracture detection.Scientific reports · 2021Article
- [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
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Authors and funding
3 authors at 1 institution in 1 country.
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Abstract
aimThe aim of this study was to evaluate and compare the diagnostic role of radiography and multi-detector computed tomography (MDCT) in acute traumatic wrist injuries. PATIENTS AND
methodsOne hundred sixty-eight patients with acute wrist trauma were enrolled in our study. All patients had submitted to radiography and MDCT within 24 h after wrist trauma. The diagnostic role of radiography and MDCT was evaluated and compared. The effective radiation dose of the two techniques was calculated.
resultsOne hundred four (61.9%) and 84 (50%) out of 168 patients had acute wrist injuries on MDCT and radiographic examinations, respectively. Using MDCT results as a reference standard, the sensitivity, specificity, and accuracy of radiography in the diagnosis of distal radius fracture were 85.7, 96, and 92.3%, respectively, and in the diagnosis of scaphoid fracture were 62.5, 97.3, and 88.5%, respectively. As regards detection of acute traumatic wrist injuries, we observed no significant difference between the two modalities (P = 0.1347); in addition, both modalities had high consistency (κ = 0.8359). The mean effective radiation dose of radiography was 0.01 mSv and of MDCT was 0.1 mSv.
conclusionRadiography still remains as the first screening tool in acute traumatic wrist injuries and MDCT is complementary to it and used as a problem-solving tool or for preoperative planning.
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