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Best Evidence Topic reports
BET 3

https://doi.org/10.1136/emj.2010.104885

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    Can ultrasound diagnose scaphoid fractures?

    Report by: Jonathan Baldry, ST5 emergency medicine

    Search checked by: Jim Crawfurd, Consultant emergency medicine

    Institution: James Paget NHS Trust, Great Yarmouth, UK

    Clinical scenario

    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.

    Three-part question

    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)?

    Search strategy

    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).

    Outcome

    Twenty-one relevant articles were …

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    Footnotes

    • Linked articles 104869, 104877, 104893, 104851.

    • Competing interests None.

    • Provenance and peer review Not commissioned; not externally peer reviewed.

    Linked Articles

    • Best evidence topic reports
      Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
      Craig Ferguson
      Emergency Medicine Journal 2010; 27 873-873 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104851
    • Best evidence topic reports
      BET 1
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 873-874 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104869
    • Best Evidence Topic reports
      BET 2
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 874-875 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104877
    • Best Evidence Topic reports
      BET 4
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 877-878 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104893