Cheung Kevin, Livock Holly, Rubin Zoe, Tang Ken, Smit Kevin, Carsen Sasha
Division of Plastic Surgery, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Division of Orthopaedic Surgery, Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
Plast Surg (Oakv). 2025 May;33(2):261-266. doi: 10.1177/22925503231208451. Epub 2023 Nov 3.
Controversy exists in the management of children presenting with clinical suspicion of a scaphoid fracture but normal radiographs. The purpose of this study was to prospectively evaluate the potential role for advanced imaging in children with suspected scaphoid fractures. Participants with clinical suspicion of a scaphoid fracture but 2 sets of radiographs negative for fracture were casted and underwent both computed tomography (CT) and magnetic resonance imaging (MRI). The primary outcome was the prevalence of scaphoid fracture and other imaging findings. Twenty-five participants were enrolled. Nine participants (36%) were found to have a scaphoid fracture on either CT or MRI. Concordance of CT and MRI was found in 64% of cases. Future studies are required to better understand the clinical significance of these injuries, the role of advanced imaging, and the most appropriate treatment in children with suspected scaphoid fractures.
对于临床怀疑舟状骨骨折但X线片正常的儿童，其治疗存在争议。本研究的目的是前瞻性评估高级影像学检查在疑似舟状骨骨折儿童中的潜在作用。临床怀疑舟状骨骨折但两组X线片均未发现骨折的参与者被进行石膏固定，并接受计算机断层扫描（CT）和磁共振成像（MRI）检查。主要结局是舟状骨骨折的患病率及其他影像学表现。共有25名参与者入组。9名参与者（36%）在CT或MRI检查中被发现有舟状骨骨折。CT和MRI的一致性在64%的病例中被发现。未来需要开展研究，以更好地了解这些损伤的临床意义、高级影像学检查的作用以及疑似舟状骨骨折儿童的最合适治疗方法。
