Comparative Study of the Diagnostic Value of Panoramic and Conventional Radiography of the Wrist in Scaphoid Fractures

AuthorFatemeh Ezoddini Ardakanien
AuthorMaryam Zangoie Booshehrien
AuthorSeyed Hossein Saeed Banadakien
AuthorReza Nafisi-Moghadamen
Issued Date2013-01-01en
AbstractBackground: Scaphoid fractures are the most common type of carpal fractures. Objectives: The aim of the study was to compare the diagnostic value of panoramic and conventional radiographs of the wrist in scaphoid fractures. Patients and Methods: The panoramic and conventional radiographs of 122 patients with acute and chronic wrist trauma were studied. The radiographs were analyzed and examined by two independent radiologist observers; one physician radiologist and one maxillofacial radiologist. The final diagnosis was made by an orthopedic specialist. Kappa test was used for statistical calculations, inter- and intra-observer agreement and correlation between the two techniques. Results: Wrist panoramic radiography was more accurate than conventional radiography for ruling out scaphoid fractures. There was an agreement in 85% or more of the cases. Agreement values were higher with better inter and intra observer agreement for panoramic examinations than conventional radiographic examinations. Conclusion: The panoramic examination of the wrist is a useful technique for the diagnosis and follow-up of scaphoid fractures. Its use is recommended as a complement to conventional radiography in cases with inconclusive findings.en
DOIhttps://doi.org/10.5812/iranjradiol.10099en
KeywordScaphoid Boneen
KeywordFracturesen
KeywordBoneen
KeywordRadiographyen
KeywordWristen
KeywordPanoramicen
PublisherBrieflandsen
TitleComparative Study of the Diagnostic Value of Panoramic and Conventional Radiography of the Wrist in Scaphoid Fracturesen
TypeResearch Articleen

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