Scaphoid Fracture Clinical Trial
Official title:
A Single Centre Randomised, Non-blinded, Prospective Study to Evaluate the Use of MRI for Patients Presenting With Suspected Scaphoid Fracture With Negative Findings on the Initial Conventional Radiography
Given that: 1) various clinical complications may arise from a misdiagnosed scaphoid
fracture; and 2) clinical and radiographic diagnosis of scaphoid fracture is often
challenging, particularly at the time of presentation, this study aims to evaluate whether
the use of Magnetic Resonance Imaging (MRI) in the investigation of patients presenting with
a suspected scaphoid fracture, with negative findings from the initial conventional
radiography (4-view plain x-ray), leads to improved levels of efficiency, quality of care and
patient experience.
This study is a single centre randomised, non-blinded, prospective study. Participants will
be randomised, following the initial negative conventional radiography, to either: no further
imaging at A&E (consistent with current clinical practice); or 2) wrist MRI. The study
considers a follow-up period of 6 months.
The scaphoid bone is an obliquely orientated bone on the radial (thumb) side of the wrist,
between the distal carpal row and the radius. Wrist injury is a common presentation to the
Emergency Department (ED) in the UK. Amongst these patients, the scaphoid is the most
commonly fractured carpal bone, accounting for 51-90% of carpal fractures and between 2-7% of
all fractures.
Given that: 1) various clinical complications may arise from a misdiagnosed scaphoid
fracture; and 2) clinical and radiographic diagnosis of scaphoid fracture is often
challenging, particularly at the time of presentation, this study aims to evaluate whether
the use of Magnetic Resonance Imaging (MRI) in the investigation of patients presenting with
a suspected scaphoid fracture, with negative findings from the initial conventional
radiography (4-view plain x-ray), leads to improved levels of efficiency, quality of care and
patient experience.
This study is a single centre randomised, non-blinded, prospective study. Participants will
be randomised, following the initial negative conventional radiography, to either: no further
imaging at A&E (consistent with current clinical practice); or 2) wrist MRI. The study
considers a follow-up period of 6 months.
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