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Can ultrasound diagnose scaphoid fractures?
Institution: James Paget NHS Trust, Great Yarmouth, UK
A 24-year-old man presents following a fall on an outstretched hand. He has clinical signs of a scaphoid fracture but his initial x-rays are normal. You wonder if ultrasound could be used to identify an occult scaphoid fracture.
In an (adult presenting after wrist trauma with clinical signs of a scaphoid fracture but normal x-rays), can (ultrasound imaging) detect the presence of an (occult scaphoid fracture)?
Medline, CINAHL, and Embase databases using Ovid interface in June 2010.
Mesh terms (scaphoid bone) and (ultrasonography).
Keyword search: (scaphoid bone OR Carpal bones OR Fractures OR wrist injuries OR un-united) AND (Ultrasonography OR Ultrasonics OR Interventional Ultrasonography OR Ultrasound OR Sonography OR High-intensity Focused OR High-intensity focussed).
Twenty-one relevant articles were …