efficacy of high resolution computed tomography for detection of early healing in scaphoid fractures疗效高分辨率计算机断层扫描检测的舟状骨骨折的早期愈合.pdfVIP

Open Journal of Clinical Diagnostics, 2012, 2, 51-55 OJCD / 10.4236/ojcd.2012.23011 Published Online September 2012 (http://www.SciRP.org/journal/ojcd/) Efficacy of high resolution computed tomography for detection of early healing in scaphoid fractures * Michael Di Ianni, Jatin Kaicker, Ke Wu, Hema Choudur Department of Medical Imaging, McMaster University, Hamilton, Canada * Email: choudur@hhsc.ca Received 18 April 2012; revised 25 May 2012; accepted 20 June 2012 ABSTRACT Keywords: Wrist Fracture; Scaphoid Bone Fracture; Scaphoid Bone Fracture Healing; 64-Slice CT Scans; Background: While plain radiography is commonly Trabecular Continuity used to assess scaphoid fracture, this imaging modal- ity may not accurately demonstrate early bone heal- ing. This investigation evaluates the utility of 64-slice 1. INTRODUCTION CT in the detection of early fracture healing com- Scaphoid fractures are a common injury that may lead to pared to plain radiographs and magnetic resonance considerable morbidity, accounting for about 50% - 80% imaging (MRI). Methods: Outpatients attending fol- of carpal injuries [1]. They have an incidence of 38/ low-up visits for scaphoid fractures at Hamilton 100,000 in men and 8/100,000 in females [2]. The frac- Genera