Evidence map›Paper›PMID 39735147›Full record

ArticleCureus2024

Dynamic Palpation for Diagnosing Clinically Covert Scaphoid Fractures.

Nirmal K Sinha, Amit Bhardwaj, Ashutosh S Rao

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

3 authors.

Nirmal K SinhaOrthopaedics, Manipal University College Malaysia, Melaka, MYS.
Amit BhardwajOrthopaedics, Sengkang General Hospital, Sengkang, SGP.
Ashutosh S RaoOrthopaedics, Manipal University College Malaysia, Melaka, MYS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The scaphoid is the most fractured carpal bone. In the initial workup, various clinical examinations are performed. However, the diagnosis can be confounding in the setting of clinically covert fracture cases. Routine physical examination findings may be equivocal in cases of proximal or distal pole fractures. Moreover, many commonly performed clinical tests are high in sensitivity but lag in specificity. Incorrect diagnosis can lead to overtreatment or undertreatment of this injury. To enhance the reliability of physical examination, dynamic palpation may be combined with static palpation. This report presents dynamic palpation at various wrist positions, based on cadaver anatomy studies of scaphoid and pain provocation manoeuvres of the wrist and hand as observed in various clinical studies. Tenderness thus elicited through these methods may help to confirm the diagnosis in the setting of clinically covert scaphoid fracture, where routine palpation findings are equivocal.

Indexed as

anatomy based palpationcovert scaphoid fracturediagnosis of scaphoid fracturedynamic palpationpain provocation manoeuvres

Identifiers

PMID39735147
PMCPMC11671417

What OpenQuestion holds

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Registered trials

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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.