A scoring system to demonstrate the risk for bone injury in patients with clinically suspected or occult scaphoid fracture

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dc.authoridHüseyin Bahadır Gökçen / 0000-0002-5374-1166en_US
dc.authorscopusidHüseyin Bahadır Gökçen / 51563604200
dc.authorwosidHüseyin Bahadır Gökçen / EVT-4898-2022
dc.contributor.authorGökçen, Hüseyin Bahadır
dc.contributor.authorAkçal, Mehmet Akif
dc.contributor.authorÜnay, Koray
dc.contributor.authorÖzyürek, Selahattin
dc.contributor.authorPoyanlı, Oğuz
dc.contributor.authorEsenkaya, İrfan
dc.date.accessioned2020-08-30T20:07:40Z
dc.date.available2020-08-30T20:07:40Z
dc.date.issued2018
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: It is important to diagnose a scaphoid fracture accurately and start the correct treatment in the shortest time possible. However, the fracture of bone may not be visible on x-ray. In such cases, patients are clinically diagnosed with suspected or occult scaphoid fractures. The aim of this study was to define a scoring system based on physical examination to demonstrate the risk for bone injury in patients with clinically suspected and occult scaphoid fractures with negative radiographs and anatomical snuff box tenderness and to decrease the costs and workforce loss due to unnecessary treatment and magnetic resonance imaging (MRI). Materials and Methods: Patients were initially evaluated by the attendant orthopedic physician in the emergency service with X-ray of the wrist, and ten wrist physical examination techniques were used. The X-rays of patients were evaluated by three orthopedic surgeons. Finally sixty patients, who were diagnosed as having no fracture by all three orthopedic surgeon, were included in the study. The wrists of these patients were evaluated with MRI. Results: There were 46 male (77%) and 14 female (23%) patients with a mean age of 21.5 years (range 7-61 years). About 3.3% had triquetrum fracture, 15% had bone edema in the scaphoid and radius, 18.3% had distal radius fracture, 31.6% had scaphoid fracture, and 31.8% had no bone injury. A scoring system was also proposed. It can be predicted that in the physical examination of the wrist if the total score is higher than 6.5, the probability of fracture is 2.87 (positive likelihood ratio) fold compared to scores below 6.5. Conclusions: Proposal of this new scoring system was thought to be useful for predicting the risk for bone injury in patients with clinically suspected scaphoid fractures and making decision regarding therapeutic options.en_US
dc.identifier.citationGokcen, H. B., Akcal, M. A., Unay, K., Ozyurek, S., Poyanli, O., & Esenkaya, I. (2018). A Scoring System to Demonstrate the Risk for Bone Injury in Patients with Clinically Suspected or Occult Scaphoid Fracture. INDIAN JOURNAL OF ORTHOPAEDICS, 52(2), 184–189. https://doi.org/10.4103/ortho.IJOrtho_262_16en_US
dc.identifier.doi10.4103/ortho.IJOrtho_262_16en_US
dc.identifier.endpage189en_US
dc.identifier.issn0019-5413en_US
dc.identifier.issn1998-3727en_US
dc.identifier.issue2en_US
dc.identifier.pmid29576647en_US
dc.identifier.scopus2-s2.0-85043255923en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage184en_US
dc.identifier.urihttps://doi.org/10.4103/ortho.IJOrtho_262_16
dc.identifier.urihttps://hdl.handle.net/20.500.12713/810
dc.identifier.volume52en_US
dc.identifier.wosWOS:000429265000013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGökçen, Hüseyin Bahadıren_US
dc.language.isoenen_US
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofIndian Journal of Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBone Injuryen_US
dc.subjectOcculten_US
dc.subjectScaphoid Fractureen_US
dc.subjectScoring Systemen_US
dc.titleA scoring system to demonstrate the risk for bone injury in patients with clinically suspected or occult scaphoid fractureen_US
dc.typeArticleen_US

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