SynthesisSkeletal radiology2018
Ultrasound for diagnosing radiographically occult scaphoid fracture.
Synthesis in Skeletal radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 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.
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Diagnostic performance of cone-beam computed tomography for scaphoid fractures: a systematic review and diagnostic meta-analysis.Scientific reports · 2021Pooled 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
- Musculoskeletal ultrasound in the emergency department: a narrative review for general radiologists.Emergency radiology · 2026Review
- Review
- A Plea for a Paradigm Shift from X-Ray to Ultrasound in Adults: An Update for Emergency Physicians, General Practitioners, Orthopedists and Sports Medicine Physicians.Diagnostics (Basel, Switzerland) · 2025Review
- Unstable occult scaphoid fracture diagnosed by dynamic point-of-care ultrasound: a case report and review.Frontiers in medicine · 2025Article
- Fracture sonography-review of literature and current recommendations.Archives of orthopaedic and trauma surgery · 2024Review
- An Umbrella Review and Updated Meta-Analysis of Imaging Modalities in Occult Scaphoid and Hip and Femoral Fractures.Journal of clinical medicine · 2024Review
- Comparative use of ultrasound and radiography for the detection of fractures: a systematic review and narrative synthesis.Annals of medicine and surgery (2012) · 2023Article
- Common Ultrasound Applications for Pediatric Musculoskeletal Conditions.Current reviews in musculoskeletal medicine · 2022Review
- Common Upper Extremity Injuries in Pediatric Athletes.Current reviews in musculoskeletal medicine · 2022Review
- [Fracture sonography of the extremities].Der Unfallchirurg · 2022Review
- Elastic Stable Intramedullary Nailing for Pediatric Humeral Shaft Fractures Under Ultrasonographic Guidance: A Retrospective Study.Frontiers in pediatrics · 2021Article
- What is the role of ultrasonography in the early diagnosis of scaphoid fractures?European journal of radiology open · 2021Review
- Systematic Review of Diagnosis of Clinically Suspected Scaphoid Fractures.Journal of wrist surgery · 2020Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo systematically review the literature on the performance of ultrasound in diagnosing radiographically occult scaphoid fracture.
methodsA systematic search was performed in the MEDLINE and Embase databases. Original studies investigating the performance of ultrasound in diagnosing radiographically occult scaphoid fracture in more than 10 patients were eligible for inclusion. Studies that included both radiographically apparent and occult scaphoid fractures (at initial radiography) were only included if independent data on radiographically occult fractures were reported. Methodological quality of the studies included was assessed using the Quality Assessment of Diagnostic Accuracy Studies 2 (QUADAS-2) tool. Accuracy data were extracted. Sensitivity and specificity were pooled with a bivariate random-effects model.
resultsThe inclusion criteria were met by 7 studies; total sample size comprised 314 patients. All studies, except 1, included cortical disruption of the scaphoid in their diagnostic criteria. The sensitivity and specificity of ultrasound in diagnosing radiographically occult scaphoid fracture ranged from 77.8% to 100% and from 71.4% to 100% respectively, with pooled estimates of 85.6% (95% CI: 73.9%, 92.6%) and 83.3% % (95% CI: 72.0%, 90.6%) respectively. Exclusion of two studies with a high risk of bias in any QUADAS-2 domain did not affect the pooled results.
conclusionUltrasound can diagnose radiographically occult scaphoid fracture with a fairly high degree of accuracy. Because of its relatively low costs and fairly high sensitivity, ultrasound seems more cost-effective than empiric cast immobilization and may be used when CT and MRI are not readily available.
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Registered trials
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.