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Wheeless' Textbook of Orthopaedics
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Diagnosis of scaphoid fractures. A prospective multicenter study of 1,052


patients with 160 fractures. Munk B. Frokjaer J. Larsen CF. Johannsen HG. Rasmussen LL. Edal A. Rasmussen LD. Department of Orthopedics, Haderslev Hospital, Denmark. Acta Orthopaedica Scandinavica. 66(4):359-60, 1995 Aug. In a prospective multicenter study of 1,052 patients with clinical signs of a scaphoid fracture, mammographic films and fine intensifying screens were used at the radiographic examination. 5 standardized projections including 3 special projections focused on the scaphoid were taken. 150 fractures were diagnosed at the first examination but in 10 cases the fracture was first diagnosed at a second radiographic examination after 10-14 days. The second examination still seems mandatory despite the use of high quality radiographs with optimal spatial resolution and contrast, and the value of supplementary special projections.



Original Text by Clifford R. Wheeless, III, MD.