الفهرس | Only 14 pages are availabe for public view |
Abstract Fractures of the scaphoid are the second most common fractures of the upper limb after distal radius fractures. Rapid and accurate diagnosis is a must, because delayed initiation of therapy increases the risk of complications such as non-union and avascular necrosis, and subsequent functional impairment Our study was done 30 patients with clinical symptoms of tenderness in the anatomic snuffbox after a fall on an outstretched hand or after wrist trauma and suspected to have scaphoid fracture in the plain X-ray. 29 of them were males (96.7%), one female (3.3%). Their ages ranged between 18 years to 66 years with a mean of 31.8 years. The participants were enrolled in a comparison of CT and MRI with regard to their diagnostic performance and accuracy in scaphoid fractuure. 50% of the patients presented with fracture proximal pole of the scaphoid while 36.7% of the patients had fracture waist and only 13.3% of the patients had fracture distal pole. 66.7% of the patients had a horizontal fracture and 33% of the patients presented with oblique fracture Only 20 % of the patients had structural destruction and 80% hadn’t. In the current study, CT and MRI are equal in detecting fracture displacement with dislocation of fragments while according to pattern of fracture CT was superior in detection of cortical involvement in scaphoid fracture, MRI was superior in detection of trabecular fracture. |