The role of ultrasonography in the diagnosis of occult scaphoid fractures
Background: Ultrasonography is widely utilized by emergency physicians and radiologists to diagnose various orthopaedic diseases, including fractures. We aim to derive a definitive estimate of the diagnostic accuracy of ultrasonography in clinically suspected scaphoid fractures. Methods: We under...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Sciendo
2018-12-01
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| Series: | Journal of Ultrasonography |
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| Online Access: | http://jultrason.pl/index.php/issues/volume-18-no-75/the-role-of-ultrasonography-in-the-diagnosis-of-occult-scaphoid-fractures?aid=679 |
| _version_ | 1811344400925589504 |
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| author | Mohammed Ali Mujtaba Ali Ahmed Mohamed Syed Mannan Farshid Fallahi |
| author_facet | Mohammed Ali Mujtaba Ali Ahmed Mohamed Syed Mannan Farshid Fallahi |
| author_sort | Mohammed Ali |
| collection | DOAJ |
| description | Background: Ultrasonography is widely utilized by emergency physicians and radiologists
to diagnose various orthopaedic diseases, including fractures. We aim to derive a definitive
estimate of the diagnostic accuracy of ultrasonography in clinically suspected scaphoid
fractures. Methods: We undertook a systematic review and meta-analysis of included diagnostic cohort studies that discussed the use of ultrasonography in the diagnosis of occult
scaphoid fractures. We searched the National Institute for Health and Care Excellence
database using the Healthcare Databases Advanced Search tool. In addition, we utilized
the PubMed database to search the Medical Literature Analysis and Retrieval System Online, Excerpta Medica database, Cumulative Index of Nursing and Allied Health and Allied
and Complimentary Medicine databases. Studies were included if they discuss the role of
ultrasound imaging in the diagnosis of scaphoid fractures based on cortical interruption,
radio-carpal effusion and scapho-trapezium-trapezoid effusion. Quality assessment was
performed using the methodological index for non-randomized studies scoring system.
Results: 6 non-randomized control studies met the inclusion criteria. Collectively, these
included 236 patients with a mean age ranging from 18 to 41.2 years. The quality of these
articles ranged between moderate and high based on the methodological index for nonrandomized studies score. The mean sensitivity was 88.95% (standard deviation 10.03)
and mean specificity was 89.50% (standard deviation 12.21). Conclusion: The current
literature reveals high sensitivity and specificity in the use of ultrasonography in scaphoid fracture diagnosis. However, multiple factors including technical differences in ultrasound machines and probes, small sample sizes and variability of subsequent confirmatory
tests have created a challenge in determining the ultimate reliability of ultrasonography
in the diagnosis of occult scaphoid fractures. Considering these factors and limitations,
large-sample and high-quality clinical trials are needed to adequately assess its reliability
for this purpose. One stop clinics, in the authors’ opinion, would be an ideal setting for its
introduction as well as for future trials. |
| first_indexed | 2024-04-13T19:46:45Z |
| format | Article |
| id | doaj.art-edbff8cb874b45f2ae5d2d9acac8bc4d |
| institution | Directory Open Access Journal |
| issn | 2084-8404 2451-070X |
| language | English |
| last_indexed | 2024-04-13T19:46:45Z |
| publishDate | 2018-12-01 |
| publisher | Sciendo |
| record_format | Article |
| series | Journal of Ultrasonography |
| spelling | doaj.art-edbff8cb874b45f2ae5d2d9acac8bc4d2022-12-22T02:32:42ZengSciendoJournal of Ultrasonography2084-84042451-070X2018-12-01187532533110.15557/JoU.2018.0047The role of ultrasonography in the diagnosis of occult scaphoid fracturesMohammed Ali0Mujtaba Ali1Ahmed Mohamed2Syed Mannan3Farshid Fallahi4North Cumbria University Hospital NHS Trust, Carlisle, United KingdomNorth Cumbria University Hospital NHS Trust, Carlisle, United KingdomHealth Education North East, Newcastle upon Tyne, United KingdomNorth Cumbria University Hospital NHS Trust, Carlisle, United KingdomNorth Cumbria University Hospital NHS Trust, Carlisle, United KingdomBackground: Ultrasonography is widely utilized by emergency physicians and radiologists to diagnose various orthopaedic diseases, including fractures. We aim to derive a definitive estimate of the diagnostic accuracy of ultrasonography in clinically suspected scaphoid fractures. Methods: We undertook a systematic review and meta-analysis of included diagnostic cohort studies that discussed the use of ultrasonography in the diagnosis of occult scaphoid fractures. We searched the National Institute for Health and Care Excellence database using the Healthcare Databases Advanced Search tool. In addition, we utilized the PubMed database to search the Medical Literature Analysis and Retrieval System Online, Excerpta Medica database, Cumulative Index of Nursing and Allied Health and Allied and Complimentary Medicine databases. Studies were included if they discuss the role of ultrasound imaging in the diagnosis of scaphoid fractures based on cortical interruption, radio-carpal effusion and scapho-trapezium-trapezoid effusion. Quality assessment was performed using the methodological index for non-randomized studies scoring system. Results: 6 non-randomized control studies met the inclusion criteria. Collectively, these included 236 patients with a mean age ranging from 18 to 41.2 years. The quality of these articles ranged between moderate and high based on the methodological index for nonrandomized studies score. The mean sensitivity was 88.95% (standard deviation 10.03) and mean specificity was 89.50% (standard deviation 12.21). Conclusion: The current literature reveals high sensitivity and specificity in the use of ultrasonography in scaphoid fracture diagnosis. However, multiple factors including technical differences in ultrasound machines and probes, small sample sizes and variability of subsequent confirmatory tests have created a challenge in determining the ultimate reliability of ultrasonography in the diagnosis of occult scaphoid fractures. Considering these factors and limitations, large-sample and high-quality clinical trials are needed to adequately assess its reliability for this purpose. One stop clinics, in the authors’ opinion, would be an ideal setting for its introduction as well as for future trials.http://jultrason.pl/index.php/issues/volume-18-no-75/the-role-of-ultrasonography-in-the-diagnosis-of-occult-scaphoid-fractures?aid=679ultrasoundscaphoid fracturediagnosisaccuracy |
| spellingShingle | Mohammed Ali Mujtaba Ali Ahmed Mohamed Syed Mannan Farshid Fallahi The role of ultrasonography in the diagnosis of occult scaphoid fractures Journal of Ultrasonography ultrasound scaphoid fracture diagnosis accuracy |
| title | The role of ultrasonography in the diagnosis of occult scaphoid fractures |
| title_full | The role of ultrasonography in the diagnosis of occult scaphoid fractures |
| title_fullStr | The role of ultrasonography in the diagnosis of occult scaphoid fractures |
| title_full_unstemmed | The role of ultrasonography in the diagnosis of occult scaphoid fractures |
| title_short | The role of ultrasonography in the diagnosis of occult scaphoid fractures |
| title_sort | role of ultrasonography in the diagnosis of occult scaphoid fractures |
| topic | ultrasound scaphoid fracture diagnosis accuracy |
| url | http://jultrason.pl/index.php/issues/volume-18-no-75/the-role-of-ultrasonography-in-the-diagnosis-of-occult-scaphoid-fractures?aid=679 |
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