Analysis of the management of occult fractures of the scaphoid through early magnetic resonance imaging

2013 ◽  
Vol 55 (3) ◽  
pp. 247-252
Author(s):  
M.D. Moreno-Ramos ◽  
M. Martínez-Hervás ◽  
P. Sanz-Rupp ◽  
J. Ramos-Medrano
1994 ◽  
Vol 23 (1) ◽  
Author(s):  
Nogah Haramati ◽  
RonaldB. Staron ◽  
Charles Barax ◽  
Frieda Feldman

2005 ◽  
Vol 46 (6) ◽  
pp. 636-644 ◽  
Author(s):  
T. Pudas ◽  
T. Hurme ◽  
K. Mattila ◽  
E. Svedström

Purpose: Magnetic resonance imaging (MRI) evaluation of pediatric elbow trauma with or without a visible fracture on radiography. Material and Methods: MRI was performed in the acute phase in 25 children with an elbow injury. Nine patients with an elbow effusion only on radiographs and 16 with a fracture or luxation seen on radiographs underwent subsequent MRI. No sedation was used. Results: MRI revealed eight occult fractures (89%) in seven out of nine patients who had only an effusion on radiographs. Based on MRI findings, septic arthritis was suspected in one patient. Two patients out of five with a supracondylar fracture on the radiograph had a cartilage lesion in the humerus. MRI depicted a 3-mm gap on the articular surface in two patients with a lateral condyle fracture, a more accurate fracture location in two patients than the radiographs, and an additional occult fracture in two patients. MRI showed a fracture not seen on radiographs in two of three patients with prior luxation. Conclusion: MRI is a sensitive and accurate method in the diagnosis of pediatric elbow injuries, especially when only an effusion is present on radiographs. Occult fractures are more common in pediatric patients with elbow injury than reported earlier.


1997 ◽  
Vol 22 (6) ◽  
pp. 810-813 ◽  
Author(s):  
C. KUKLA ◽  
C. GAEBLER ◽  
M. J. BREITENSEHER ◽  
S. TRATTNIG ◽  
V. VÉCSEI

Scaphoid fractures that are not visible on initial radiographs are notoriously difficult to diagnose. This prospective study compared four-view plain radiography at an average of 14 days after injury, with high-definition macroradiography and magnetic resonance imaging at presentation. Initial magnetic resonance imaging was superior to repeat scaphoid radiography for the confirmation or exclusion of fractures as well as for the detection of associated wrist injuries. Macroradiography was unsuitable for screening for occult scaphoid fractures.


Author(s):  
Alan P. Koretsky ◽  
Afonso Costa e Silva ◽  
Yi-Jen Lin

Magnetic resonance imaging (MRI) has become established as an important imaging modality for the clinical management of disease. This is primarily due to the great tissue contrast inherent in magnetic resonance images of normal and diseased organs. Due to the wide availability of high field magnets and the ability to generate large and rapidly switched magnetic field gradients there is growing interest in applying high resolution MRI to obtain microscopic information. This symposium on MRI microscopy highlights new developments that are leading to increased resolution. The application of high resolution MRI to significant problems in developmental biology and cancer biology will illustrate the potential of these techniques.In combination with a growing interest in obtaining high resolution MRI there is also a growing interest in obtaining functional information from MRI. The great success of MRI in clinical applications is due to the inherent contrast obtained from different tissues leading to anatomical information.


Sign in / Sign up

Export Citation Format

Share Document