Evidence map›Paper›PMID 42277387›Full record

ArticleEuropean radiology2026

Interdisciplinary consensus statements on imaging of scaphoid fractures.

Tobias Johannes Dietrich, James Teh, Rainer Schmitt, Alain Blum, Nina Hesse, Radhesh Krishna Lalam, Andoni Paul Toms, Fabio Becce, Patrick Omoumi, Maryam Shahabpour and 37 more

Abstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in European radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

47 authors.

Tobias Johannes DietrichHOCH, Cantonal Hospital St. Gallen, Radiology and Nuclear Medicine, St. Gallen, Switzerland. tobias.dietrich@uzh.ch.ORCID http://orcid.org/0000-0003-2979-6471
James TehDepartment of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK.
Rainer SchmittDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Alain BlumGuilloz Imaging Department, Central Hospital, University Hospital Center of Nancy, UDL, Nancy, France.
Nina HesseDepartment of Radiology, University Hospital, LMU Munich, Munich, Germany.
Radhesh Krishna LalamDepartment of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK.
Andoni Paul TomsNorwich Medical School, University of East Anglia, Norwich, UK.
Fabio BecceDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Patrick OmoumiDepartment of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Maryam ShahabpourRadiology, Hôpital Universitaire de Bruxelles-Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Maciej BieńGamma Medical Center, Warsaw, Poland.
Marco ZanettiFaculty of Medicine, University of Zurich, Zurich, Switzerland.
Robert Downey BoutinDepartment of Radiology, Stanford University School of Medicine, Stanford, CA, USA.
Jan FritzDepartment of Radiology, New York University Grossman School of Medicine, NYU Langone Health, New York, NY, USA.
Eva LlopisHospital de la Ribera. IMSKE, Valencia, Spain.
Alberto BazzocchiDiagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
P Diana AfonsoHospital CUF Tejo, Grupo CUF, Lisbon, Portugal.
Vasco V MascarenhasMusculoskeletal Imaging Unit, Hospital da Luz, Lisbon, Portugal.
Reto SutterFaculty of Medicine, University of Zurich, Zurich, Switzerland.
Anne CottenMusculoskeletal Imaging Department, CIAL, Lille University, Lille, France.
Jean-Luc DrapéService de Radiologie B, Groupe Hospitalier Cochin, AP-HP.Centre, Université Paris Cité, Paris, France.
Guillaume BierryMSK Imaging, University Hospital, Strasbourg Cedex, France.
Grzegorz PracońGamma Medical Center, Warsaw, Poland.
Milko C de JongeDepartment of Radiology, St. Antonius Hospital Utrecht, Utrecht, The Netherlands.
Danoob DaliliRadiology Department, Dorking Road, Epsom & St Helier University Hospitals NHS Trust, London, UK.
Marc MespreuveDepartment of Medical Imaging, University Hospital Ghent, Ghent, Belgium.
Maciej KlichSpecjalistyczna Praktyka Lekarska Chirurgia Ręki Maciej Klich, Warsaw, Poland.
Ladislav NagyFaculty of Medicine, University of Zurich, Zurich, Switzerland.
Robert M SzaboDepartment of Orthopaedic Surgery, University of California Davis, Health System, Sacramento, CA, USA.
Jörg G GrünertDepartment of Hand and Plastic Surgery, Berit Klinik, Goldach, Switzerland.
Emmanuel J CamusBrussels Free University (ULB), Brussels, Belgium.
Gregory Ian BainDepartment of Orthopaedic Surgery, Flinders University of South Australia and Flinders Medical Centre, Adelaide, SA, Australia.
Christophe L MathoulinInternational Wrist Center, Clinique Bizet, Paris, France.
Florian GoehtzClinic for Hand Surgery, Rhön Medical Center, Bad Neustadt/Saale, Germany.
Marc Garcia-EliasHand and Upper Extremity Surgery, Creu Blanca, Barcelona, Spain.
Luc Van OverstraetenHand and Foot Surgery Unit (HFSU) SPRL, Tournai, Belgium.
Francisco Del PiñalInstituto de Cirugía Plástica y de la Mano, Madrid, Spain.
Andrea AtzeiPro-Mano, Treviso, Italy and Ospedale San Camillo, Treviso, Italy.
Riccardo LuchettiRimini Hand Surgery and Rehabilitation Center, Rimini, Italy.
Adrian Julian ChojnowskiOrthopaedics and Trauma Department, Hand and upper limb surgery, Norfolk and Norwich University NHS Trust Hospital, Norwich, UK.
Piotr CzarneckiTraumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, Poznań, Poland.
Fernando CorellaSpain- Orthopedic and Trauma Department, Hospital Universitario Infanta Leonor, Madrid, Spain.
Michiro YamamotoDepartment of Human Enhancement and Hand Surgery, Nagoya University, Nagoya, Japan.
Igor O GolubevNational Medical Research Centre of Traumatology and Orthopaedics named after NN Priorov Hand Trauma and Microsurgery Division, Moscow, Russia.
Jörg van SchoonhovenClinic for Hand Surgery, Rhön Medical Center, Bad Neustadt/Saale, Germany.
Luis Cerezal *Radiology Department, DMC-Diagnóstico Médico Cantabria, Santander, Spain.
Iwona Sudoł-Szopińska *Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo establish evidence-based consensus statements on imaging of scaphoid fractures. MATERIALS AND

methodsNineteen hand surgeons formulated a preliminary list of eleven questions on imaging of scaphoid fractures. Based on this preliminary list, radiologists crafted statements considering literature and their clinical experience, then refined them through an iterative Delphi process to revise the questions and statements. A maximum of three Delphi rounds was scheduled until group consensus was achieved for an individual statement, whichever arose first. Twenty-eight radiologists drafted the statements and acted as Delphi panellists. Panellists rated their level of agreement with each statement on an 11-point numeric rating scale, the score '0' indicated complete disagreement and the score '10' indicated complete agreement, respectively. Group consensus was specified as a score of '8' or higher for ≥ 23/28 panellists.

resultsEight of eleven questions and statements achieved group consensus in the first Delphi round. The remaining three questions and statements achieved group consensus in the second Delphi round, indicating more controversial topics. It was agreed that radiographs are the initial imaging technique of choice for suspected scaphoid fractures. MRI or CT are advocated for suspected radiographically occult scaphoid fractures. CT is the method of choice for assessment of osseous consolidation. Contrast-enhanced MRI is the preferred imaging modality for assessing vascularisation of scaphoid nonunion. CT is the most valuable technique in the postoperative evaluation of scaphoid fractures.

conclusionDelphi-based consensus statements suggest imaging pathways to diagnose scaphoid fractures, assess osseous fracture consolidation and evaluate pre- and postoperative fractures. KEY POINTS: Question How can an international and interdisciplinary team of hand surgeons and musculoskeletal radiologists develop practical consensus statements on imaging of scaphoid fractures? Findings All eleven statements achieved group consensus among experts using the Delphi technique for consensus-building. Imaging pathways were suggested to diagnose and assess scaphoid fractures. Clinical relevance statement International, interdisciplinary and evidence-based consensus statements on imaging of scaphoid fractures were achieved using the Delphi technique. The focus of the statements was to diagnose scaphoid fractures, assess osseous fracture consolidation and evaluate pre- and postoperative fractures.

Indexed as

Fractures, BoneScaphoid BoneWrist FracturesDelphi TechniqueHumansMagnetic Resonance ImagingTomography, X-Ray ComputedDiagnostic imagingSurveys and questionnairesWrist injuries

Identifiers

PMID42277387

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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.