Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis

Basma Abdelmonem Desouky; Radwa Hamed Wahdan; Tarek Fawzy Abd Ella

doi:doi:10.11648/j.ijhep.20210802.11

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Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis

Basma Abdelmonem Desouky, Radwa Hamed Wahdan, Tarek Fawzy Abd Ella

Published in International Journal of High Energy Physics (Volume 8, Issue 2)

Received: 23 September 2021 Accepted: 11 October 2021 Published: 8 January 2022

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Abstract

Background: Fractures of the scaphoid are the second most common fractures of the upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation of therapy increases the risk of complications such as non-union and avascular necrosis. Objectives: To compare between the diagnostic accuracies of Computed Tomography and Magnetic Resonance Imaging in detecting scaphoid fractures and its complications. Methods: This study was carried out on 30 patients presented to private Hand clinic from October 2018 to December 2019, with clinical symptoms of tenderness in the anatomic snuffbox after wrist trauma and suspected to have scaphoid fracture in the plane X-ray. They were invited to enroll in a comparison of CT and MRI with regard to their diagnostic utility. Results: The mean age for study participants was 31.8 years (SD = 12.6 years). Nineteen patients (66.7%) had horizontal fractures, 10 had oblique structures (33.3). The MDCT showed that 29 patients had cortical fractures, MRI showed that 27 had cortical fractures, 2 patients had mixed fractures and one patient had a trabecular fracture. Conclusion: Multidetector CT had the superiority over MRI in detection of cortical involvement in scaphoid fractures but MDCT was inferior to MRI in detection of trabecular scaphoid fractures. MRI was superior to MDCT in early detection of stage I Scaphoid non-union advanced collapse. MRI was superior to CT in early detection of avascular necrosis of proximal segment of scaphoid bone.

Published in	International Journal of High Energy Physics (Volume 8, Issue 2)
DOI	10.11648/j.ijhep.20210802.11
Page(s)	19-25
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Avascular Necrosis, Computed Tomography, Fracture, Magnetic Resonance Imaging, Scaphoid

References

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APA Style

Basma Abdelmonem Desouky, Radwa Hamed Wahdan, Tarek Fawzy Abd Ella. (2022). Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. International Journal of High Energy Physics, 8(2), 19-25. https://doi.org/10.11648/j.ijhep.20210802.11

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ACS Style

Basma Abdelmonem Desouky; Radwa Hamed Wahdan; Tarek Fawzy Abd Ella. Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. Int. J. High Energy Phys. 2022, 8(2), 19-25. doi: 10.11648/j.ijhep.20210802.11

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AMA Style

Basma Abdelmonem Desouky, Radwa Hamed Wahdan, Tarek Fawzy Abd Ella. Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. Int J High Energy Phys. 2022;8(2):19-25. doi: 10.11648/j.ijhep.20210802.11

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@article{10.11648/j.ijhep.20210802.11,
  author = {Basma Abdelmonem Desouky and Radwa Hamed Wahdan and Tarek Fawzy Abd Ella},
  title = {Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis},
  journal = {International Journal of High Energy Physics},
  volume = {8},
  number = {2},
  pages = {19-25},
  doi = {10.11648/j.ijhep.20210802.11},
  url = {https://doi.org/10.11648/j.ijhep.20210802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhep.20210802.11},
  abstract = {Background: Fractures of the scaphoid are the second most common fractures of the upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation of therapy increases the risk of complications such as non-union and avascular necrosis. Objectives: To compare between the diagnostic accuracies of Computed Tomography and Magnetic Resonance Imaging in detecting scaphoid fractures and its complications. Methods: This study was carried out on 30 patients presented to private Hand clinic from October 2018 to December 2019, with clinical symptoms of tenderness in the anatomic snuffbox after wrist trauma and suspected to have scaphoid fracture in the plane X-ray. They were invited to enroll in a comparison of CT and MRI with regard to their diagnostic utility. Results: The mean age for study participants was 31.8 years (SD = 12.6 years). Nineteen patients (66.7%) had horizontal fractures, 10 had oblique structures (33.3). The MDCT showed that 29 patients had cortical fractures, MRI showed that 27 had cortical fractures, 2 patients had mixed fractures and one patient had a trabecular fracture. Conclusion: Multidetector CT had the superiority over MRI in detection of cortical involvement in scaphoid fractures but MDCT was inferior to MRI in detection of trabecular scaphoid fractures. MRI was superior to MDCT in early detection of stage I Scaphoid non-union advanced collapse. MRI was superior to CT in early detection of avascular necrosis of proximal segment of scaphoid bone.},
 year = {2022}
}

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TY - JOUR
T1 - Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis
AU - Basma Abdelmonem Desouky
AU - Radwa Hamed Wahdan
AU - Tarek Fawzy Abd Ella
Y1 - 2022/01/08
PY - 2022
N1 - https://doi.org/10.11648/j.ijhep.20210802.11
DO - 10.11648/j.ijhep.20210802.11
T2 - International Journal of High Energy Physics
JF - International Journal of High Energy Physics
JO - International Journal of High Energy Physics
SP - 19
EP - 25
PB - Science Publishing Group
SN - 2376-7448
UR - https://doi.org/10.11648/j.ijhep.20210802.11
AB - Background: Fractures of the scaphoid are the second most common fractures of the upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation of therapy increases the risk of complications such as non-union and avascular necrosis. Objectives: To compare between the diagnostic accuracies of Computed Tomography and Magnetic Resonance Imaging in detecting scaphoid fractures and its complications. Methods: This study was carried out on 30 patients presented to private Hand clinic from October 2018 to December 2019, with clinical symptoms of tenderness in the anatomic snuffbox after wrist trauma and suspected to have scaphoid fracture in the plane X-ray. They were invited to enroll in a comparison of CT and MRI with regard to their diagnostic utility. Results: The mean age for study participants was 31.8 years (SD = 12.6 years). Nineteen patients (66.7%) had horizontal fractures, 10 had oblique structures (33.3). The MDCT showed that 29 patients had cortical fractures, MRI showed that 27 had cortical fractures, 2 patients had mixed fractures and one patient had a trabecular fracture. Conclusion: Multidetector CT had the superiority over MRI in detection of cortical involvement in scaphoid fractures but MDCT was inferior to MRI in detection of trabecular scaphoid fractures. MRI was superior to MDCT in early detection of stage I Scaphoid non-union advanced collapse. MRI was superior to CT in early detection of avascular necrosis of proximal segment of scaphoid bone.
VL - 8
IS - 2
ER -

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Author Information

Basma Abdelmonem Desouky

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Radwa Hamed Wahdan

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt
Tarek Fawzy Abd Ella

Radiodiagnosis Department, Faculty of Medicine, Menoufia University, Menoufia, Egypt

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APA Style

Basma Abdelmonem Desouky, Radwa Hamed Wahdan, Tarek Fawzy Abd Ella. (2022). Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. International Journal of High Energy Physics, 8(2), 19-25. https://doi.org/10.11648/j.ijhep.20210802.11

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ACS Style

Basma Abdelmonem Desouky; Radwa Hamed Wahdan; Tarek Fawzy Abd Ella. Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. Int. J. High Energy Phys. 2022, 8(2), 19-25. doi: 10.11648/j.ijhep.20210802.11

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AMA Style

Basma Abdelmonem Desouky, Radwa Hamed Wahdan, Tarek Fawzy Abd Ella. Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis. Int J High Energy Phys. 2022;8(2):19-25. doi: 10.11648/j.ijhep.20210802.11

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@article{10.11648/j.ijhep.20210802.11,
  author = {Basma Abdelmonem Desouky and Radwa Hamed Wahdan and Tarek Fawzy Abd Ella},
  title = {Comparative Study Between Role of Computed Tomography and Magnetic Resonance Imaging in Scaphoid Fracture Diagnosis},
  journal = {International Journal of High Energy Physics},
  volume = {8},
  number = {2},
  pages = {19-25},
  doi = {10.11648/j.ijhep.20210802.11},
  url = {https://doi.org/10.11648/j.ijhep.20210802.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijhep.20210802.11},
  abstract = {Background: Fractures of the scaphoid are the second most common fractures of the upper limb after distal radius fractures. Rapid and accurate diagnosis is needed, because delayed initiation of therapy increases the risk of complications such as non-union and avascular necrosis. Objectives: To compare between the diagnostic accuracies of Computed Tomography and Magnetic Resonance Imaging in detecting scaphoid fractures and its complications. Methods: This study was carried out on 30 patients presented to private Hand clinic from October 2018 to December 2019, with clinical symptoms of tenderness in the anatomic snuffbox after wrist trauma and suspected to have scaphoid fracture in the plane X-ray. They were invited to enroll in a comparison of CT and MRI with regard to their diagnostic utility. Results: The mean age for study participants was 31.8 years (SD = 12.6 years). Nineteen patients (66.7%) had horizontal fractures, 10 had oblique structures (33.3). The MDCT showed that 29 patients had cortical fractures, MRI showed that 27 had cortical fractures, 2 patients had mixed fractures and one patient had a trabecular fracture. Conclusion: Multidetector CT had the superiority over MRI in detection of cortical involvement in scaphoid fractures but MDCT was inferior to MRI in detection of trabecular scaphoid fractures. MRI was superior to MDCT in early detection of stage I Scaphoid non-union advanced collapse. MRI was superior to CT in early detection of avascular necrosis of proximal segment of scaphoid bone.},
 year = {2022}
}

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