Ezoddini Ardakani Fatemeh, Zangoie Booshehri Maryam, Banadaki Seyed Hossein Saeed, Nafisi-Moghadam Reza
Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Iran J Radiol. 2012 Dec;10(1):14-20. doi: 10.5812/iranjradiol.10099. Epub 2012 Dec 27.
Scaphoid fractures are the most common type of carpal fractures.
The aim of the study was to compare the diagnostic value of panoramic and conventional radiographs of the wrist in scaphoid fractures.
The panoramic and conventional radiographs of 122 patients with acute and chronic wrist trauma were studied. The radiographs were analyzed and examined by two independent radiologist observers; one physician radiologist and one maxillofacial radiologist. The final diagnosis was made by an orthopedic specialist. Kappa test was used for statistical calculations, inter- and intra-observer agreement and correlation between the two techniques.
Wrist panoramic radiography was more accurate than conventional radiography for ruling out scaphoid fractures. There was an agreement in 85% or more of the cases. Agreement values were higher with better inter and intra observer agreement for panoramic examinations than conventional radiographic examinations.
The panoramic examination of the wrist is a useful technique for the diagnosis and follow-up of scaphoid fractures. Its use is recommended as a complement to conventional radiography in cases with inconclusive findings.
舟骨骨折是腕骨骨折最常见的类型。
本研究旨在比较腕部全景X线片和传统X线片对舟骨骨折的诊断价值。
对122例急慢性腕部创伤患者的全景X线片和传统X线片进行研究。由两名独立的放射科医生观察者（一名内科放射科医生和一名颌面放射科医生）对X线片进行分析和检查。最终诊断由骨科专家做出。采用Kappa检验进行统计计算、观察者间和观察者内一致性以及两种技术之间的相关性分析。
腕部全景X线摄影在排除舟骨骨折方面比传统X线摄影更准确。85%或更多的病例存在一致性。全景检查的观察者间和观察者内一致性比传统X线检查更高，一致性值也更高。
腕部全景检查是诊断和随访舟骨骨折的一种有用技术。在检查结果不明确的情况下，建议将其作为传统X线摄影的补充手段使用。
