Fracture Clinical Trial
Official title:
The Efficiency of Computerized Tomography to Aid in the Diagnosis of Pediatrics Scaphoid Fractures
The purpose of this study is to find out whether computerized tomography will be better than plain radiographs in determining pediatrics scaphoid fractures.
Background: The use of plain radiograph in the detection of pediatrics scaphoid fractures has
low specificity and sensitivity. Patients with documented anatomical snuffbox tenderness and
negative plain radiographs are casted in thumb spica casts and seen by a pediatrics
orthopedics surgeon. However few patients with clinical scaphoid fractures have documented
scaphoid fractures, with the most common injury of soft tissue injury to the surrounding
tissues. The use of CT scan to detect scaphoid fractures is not well documented and may be an
appropriate substitute for plain radiographs.
Hypothesis: CT scan of the wrist will have higher sensitivity and specificity in detecting
pediatrics scaphoid fracture than plain radiographs.
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