Kukla C, Gaebler C, Breitenseher M J, Trattnig S, Vécsei V
Department of Trauma, Vienna University Hospital, Austria.
J Hand Surg Br. 1997 Dec;22(6):810-3. doi: 10.1016/s0266-7681(97)80455-x.
Scaphoid fractures that are not visible on initial radiographs are notoriously difficult to diagnose. This prospective study compared four-view plain radiography at an average of 14 days after injury, with high-definition macroradiography and magnetic resonance imaging at presentation. Initial magnetic resonance imaging was superior to repeat scaphoid radiography for the confirmation or exclusion of fractures as well as for the detection of associated wrist injuries. Macroradiography was unsuitable for screening for occult scaphoid fractures.
初次X线片上不可见的舟骨骨折 notoriously 难以诊断。这项前瞻性研究比较了受伤后平均14天的四视图平片、高清放大X线摄影和就诊时的磁共振成像。初次磁共振成像在确认或排除骨折以及检测相关腕部损伤方面优于重复的舟骨X线摄影。放大X线摄影不适用于隐匿性舟骨骨折的筛查。
