Evidence map›Paper›PMID 31549197›Full record

ArticleDer Unfallchirurg2020

[Occult scaphoid fractures: current evidence and diagnostic algorithm].

Andreas Flury, Sebastian Günkel

Abstract read
PubMed Publisher
In one paragraph

Article in Der Unfallchirurg, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Andreas FluryOrthopädie und Traumatologie, Bürgerspital Solothurn, 4500, Solothurn, Schweiz. andreasflury@yahoo.com.
Sebastian GünkelHandchirurgie, Orthopädie und Traumatologie, Bürgerspital Solothurn, 4500, Solothurn, Schweiz.
Solothurner Spitäler · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scaphoid fractures are frequent but are overlooked in 20-40% of cases on initial radiographs. In so-called occult scaphoid fractures, i.e. clinical scaphoid fractures with negative X‑ray diagnostics, the hand of the patient is often empirically immobilized with a cast and the X‑ray diagnostics repeated 10 days later. Based on the current literature the authors propose a diagnostic algorithm that incorporates various patient characteristics and socioeconomic aspects and suggests a possible follow-up treatment. For high-demand and manually working patients, timely advanced diagnostic imaging may be medically and socioeconomically meaningful. Pensioners and patients with low manual demands, however, can be treated according to the traditional algorithm. Additional use of computed tomography (CT) or magnetic resonance imaging (MRI) diagnostics with or without intra-articular contrast agent might be helpful if concomitant soft tissue injuries are suspected.

Indexed as

Fractures, BoneFractures, ClosedRadius FracturesScaphoid BoneWrist InjuriesAlgorithmsHumansMagnetic Resonance ImagingComputed Tomography (CT)DiagnosticsImmobilizationMagnetic Resonance Imaging (MRI)Scaphoid fracturesSocio-economicalX‑ray

Identifiers

PMID31549197
OpenAlexW2976302176

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.