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2018, Number 3

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Acta Med 2018; 16 (3)

Complications of carpal scaphoid fractures: magnetic resonance evaluation

Peralta GGJ, Avendaño BCJ, Márquez BMP, Ríos RJL, González VC
Full text How to cite this article

Language: Spanish
References: 7
Page: 200-203
PDF size: 1159.14 Kb.


Key words:

Magnetic resonance, scaphoide fracture, pseudoarthrosis, avascular necrosis.

ABSTRACT

Objective: To identify the magnetic resonance characteristics of complications of carpal scaphoid bone fractures, as well as to evaluate the most frequently associated lesions. Material and methods: A retrospective observational study was performed on 14 patients who were admitted to the magnetic resonance imaging service of the Ángeles Pedregal Hospital, with a diagnosis of scaphoid fracture and with an evolution time of more than two weeks. The results of magnetic resonance imaging were evaluated by medical radiologists with high expertise in musculoskeletal magnetic resonance imaging. We assessed how many had complications from pseudarthrosis, avascular necrosis and how many had only bruising and fracture in the process of consolidation. Results: Of the 14 patients who were evaluated, five patients (35%) had simple fracture without complication data, other five patients (35%) had pseudoarthrosis data, and four patients (30%) had avascular necrosis data. The most frequent site of fracture was the scaphoid waist, finding eight cases (57%), two cases with fracture of the distal portion (14%), three cases with fracture of the proximal portion (21.5%) and only one case of multifragmentary fracture (7.5%). Conclusion: MRI is the study of choice for the evaluation of complications of scaphoid fracture and added injury.


REFERENCES

  1. Memarsadeghi M, Breitenseher MJ, Schaefer-Prokop C, Weber M, Aldrian S, Gäbler C et al. Occult scaphoid fractures: comparison of multidetector CT and MR imaging-initial experience 1. Radiology. 2006; 240 (1): 169-176.

  2. Donati O, Zanetti M, Nagy L, Bode B, Schweizer A, Pfirrmann C. Is dynamic gadolinium enhancement needed in MR imaging for the preoperative assessment of scaphoidal viability in patients with scaphoid non union? Radiology. 2011; 260 (3): 808-816.

  3. Hunter JC, Escobedo EW, Wilson AJ, Hanel DP, Zink-Brody GC, Mann FA. MR imaging of clinically suspected scaphoid fractures. AJR Am J Roentgenol. 1997; 168 (5): 1287-1293.

  4. Phillips TG, Reibach AM, Slomiany WP. Wrist injury-scaphoid fracture. Am Fam Physician. 2004; 70 (5): 879-884.

  5. Goldfarb CA, Yin Y, Gilula LA, Fisher AJ, Boyer MI. Wrist fractures: what the clinician wants to know. Radiology. 2001; 219 (1): 11-28.

  6. Smith M, Bain GI, Turner PC, Watts AC. Review of imaging of scaphoid fractures. ANZ J Surg. 2010; 80 (1-2): 82-90.

  7. Kim WC, Shaffer JW, Idzikowski C. Failure of treatment of ununited fractures of the carpal scaphoid. The role of non-compliance. J Bone Joint Surg Am. 1983; 65 (7): 985-991.




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Acta Med. 2018;16