Paediatric, Scaphoid Fracture (Suspected)
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Population Covered By The Guidance
This pathway provides guidance on imaging children with suspected scaphoid fractures.
Date reviewed: July 2014
Date of next review: July 2023
Published: July 2014
Quick User Guide
Move the mouse cursor over the PINK text boxes inside the flow chart to bring up a pop up box with salient points.
Clicking on the PINK text box will bring up the full text.
The relative radiation level (RRL) of each imaging investigation is displayed in the pop up box.
| SYMBOL | RRL | EFFECTIVE DOSE RANGE |
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None | 0 |
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Minimal | < 1 millisieverts |
 |
Low | 1-5 mSv |
 |
Medium | 5-10 mSv |
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High | >10 mSv |
References
References are graded from Level I to V according to the Oxford Centre for Evidence-Based Medicine, Levels of Evidence. Download the document
- Elhassan BT, Shin AY. Scaphoid fracture in children. Hand Clin. 2006;22:31-41. (Review article)
- Vahvanen V, Westerlund M. Fracture of the carpal scaphoid in children: a clinical and roentgenological study of 108 cases. Acta Orthop Scand. 1980;51:909-13. (Level III evidence)
- Christodoulou AG, Colton CL. Scaphoid fractures in children. J Pediatr Orthop. 1986;6(1):37-9. (Level III evidence)
- Johnson KJ, Haigh SF, Symonds KE. MRI in the management of scaphoid fractures in skeletally immature patients. Pediatric Radiol. 2000;30:685-8. (Level III evidence)
- Leslie IJ, Dickson RA. The fractured carpal scaphoid: natural history and factors influencing outcome. J Bone Joint Surg Br. 1981;63-B:225-30. (Review article)
- Munk B, Frokjaer J, Larsen CF, et al. Diagnosis of scaphoid fractures. A prospective multicentre study of 1052 patients with 160 fractures. Acta Orthop Scand. 1995;66:359-60. (Level II evidence)
- Jacobsen S, Hassani G, Hansen D, Christensen O. Suspected scaphoid fractures: can we avoid overkill. Acta Orthop Belg. 1995;61:74-8 (Level III evidence)
- Hunter JC, Escobedo EM, Wilson AJ, et al. MR imaging of clinically suspected scaphoid fractures. AJR Am J Roentgenol. 1997;168:1287-93. (Level III evidence)
- McCullough NP, Smith FW, Cooper JG. Early MRI in the management of the clinical scaphoid fracture. Eur J Emerg Med. 2011;18:133-6. (Level III evidence)
- Yin ZG, Zhang, JB, Kan SL, Wang XG. Diagnosing suspected scaphoid fractures: a systematic review and meta-analysis. Clin Orthop Relat Res. 2010;468:723-34. (Level I evidence)
- Memarsadeghi M, Breitenseher M, Sheiker-Prokop C, et al. Occult scaphoid fractures: comparison of multidetector CT and MR imaging--initial experience. Radiology. 2006;240:169-76. (Level II evidence)
- Hindman BW, Kulik WJ, Lee G, et al. Occult fractures of the carpal and metacarpals: demonstration with CT. AJR Am J Roentgenol. 1989;153:529-32. (Level III evidence)
- Nakamura R, Imaeda T, Horii E, et al. Analysis of scaphoid fracture displacement by three-dimensional computed tomography. J Hand Surg. 1991;16A:485-92. (Level IV evidence)
- Hidaka Y, Nakamura R. Progressive patterns of degenerative arthritis in scaphoid nonunion demonstrated by three-dimensional computed tomography. J Hand Surg. 1998;23B:765-70. (Level III evidence)
- Khalid M, Jummani ZR, Kanagaraj K, et al. Role of MRI in the diagnosis of clinically suspected scaphoid fracture: analysis of 611 consecutive cases and literature review. Emerg Med J. 2010;27:266-9. (Level II evidence)
- Fowler C, Sullivan B, Williams LA. A comparison of bone scintigraphy and MRI in the early diagnosis of the occult scaphoidwaist fracture. Skeletal Radiol. 1998;27:683-7. (Level II evidence)
- Brydie A, Raby N. Early MRI in the management of clinical scaphoid fracture. Br J Radiol. 2003;76:296-300. (Level II evidence)
- Kumar A, O‘Connor A, Despois M, Galloway H. Use of early magnetic resonance imaging in the diagnosis of occult scaphoid fractures: the CAST study (Canberra area scaphoid trial). N Z Med J. 2005;118(1209):U1296. (Level II evidence)
Information for Consumers
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Consent to Procedure or Treatment Radiation Risks of X-rays and Scans Magnetic Resonance Imaging (MRI) |
Magnetic Resonance Imaging (MRI) Radiation Risk of Medical Imaging for Adults and Children Children's (Paediatric) X-ray Examination |
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