The best way to diagnose occult scaphoid fractures has taxed the mind of multiple authors ever since the use of clinical tests and repeat radiographs was shown to have limited accuracy. Though the methods used have to some extent depended on local facilities, isotope bone scanning, MRI, either full or limited sequences, and CT have all had their advocates. The ideal method would need to be done early, have no false positives to reduce inappropriate immobilisation and obviously no false negatives to avoid the need for long term clinicalfollow-up and the possibility of missing the significant fracture. It would also help if it could detect significant soft tissue injury like scapho-lunate ligament rupture.
展开▼
