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How Do Doctors Spot a Hidden Scaphoid Fracture?
Published: Mar 18, 2024
Scaphoid fractures are tough to spot on regular X-rays, making it important to use advanced imaging techniques. Let's explore how doctors make the diagnosis.
Challenges with X-Rays
Plain X-rays often miss scaphoid fractures, especially in the first few weeks after injury. The hidden nature of these fractures makes early detection difficult. Without proper diagnosis, these fractures might not heal properly, causing long-term issues.
Advanced Imaging Techniques
When X-rays fail, doctors turn to MRIs, CT scans, or bone scans. MRIs are great for spotting fractures and any related soft tissue injuries. CT scans offer detailed views of the bone, while bone scans highlight areas of increased bone activity, suggesting injury.
Choosing the Right Test
The choice between MRI, CT, and bone scans depends on several factors, including cost and availability. MRI is often preferred for its detail and ability to show soft tissue injuries, while CT is a good option if MRI isn't available.
Frequently Asked Questions
They often miss fractures or don't show enough detail.
An MRI uses magnetic fields to create detailed images of your body.
Bone scans are less common due to their higher radiation dose.
MRI is often the most accurate for scaphoid fractures.
The Bottom Line
Advanced imaging is key to catching elusive scaphoid fractures early.
References
- Mallee WH, Wang J, Poolman RW, et al. Computed tomography versus magnetic resonance imaging versus bone scintigraphy for clinically suspected scaphoid fractures. Cochrane Database Syst Rev 2015.
- Dorsay TA, Major NM, Helms CA. Cost-effectiveness of immediate MR imaging versus traditional follow-up for revealing radiographically occult scaphoid fractures. AJR Am J Roentgenol 2001; 177:1257.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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