THE VALUE OF RADIOGRAPHS AND BONE-SCINTIGRAPHY IN SUSPECTED SCAPHOID FRACTURE - A STATISTICAL-ANALYSIS

被引：83

作者：

TIELVANBUUL, MMC

VANBEEK, EJR

BORM, JJJ

GUBLER, FM

BROEKHUIZEN, AH

VANROYEN, EA

机构：

[1] Academic Medical Centre, University of Amsterdam, Departments of Nuclear Medicine, Radiodiagnostics and Traumatology, Amsterdam

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1993年 / 18B卷 / 03期

关键词：

D O I：

10.1016/0266-7681(93)90074-P

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The role of radiography and bone scintigraphy in the diagnostic management of suspected scaphoid fracture is controversial. Two strategies were compared for patients with initial negative radiographs: repeated radiography versus selective bone scintigraphy. Using the known positive predictive value of scintigraphy, the sensitivity and specificity of both diagnostic strategies were evaluated in a series of 78 consecutive patients. The kappa value for initial radiographs was 0.76 but decreased to 0.5 for follow-up radiographs. Similarly, sensitivity decreased from 64% to 30% in follow-up radiographs. Specificity of the bone scan was 98%. The best diagnostic strategy in the management of clinically suspected scaphoid fractures consists of initial radiography followed by bone scintigraphy in patients with negative radiographs.

引用

页码：403 / 406

页数：4

共 19 条

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