WHAT VALUE THE SCAPHOID COMPRESSION TEST

被引：31

作者：

ESBERGER, DA

机构：

[1] Accident and Emergency Department, County Hospital, Lincoln

来源：

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1994年 / 19B卷 / 06期

关键词：

D O I：

10.1016/0266-7681(94)90250-X

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

It has been suggested that a positive scaphoid compression test will reliably confirm the presence of a fractured scaphoid in those patients presenting with an injury clinically suggestive of this, but without a fracture visible on initial X-rays. A prospective study was carried out in 99 patients presenting with an injury clinically suggestive of a scaphoid fracture. 74 patients had positive scaphoid compression tests with 24 of these patients having a scaphoid fracture visible on initial X-ray and seven having a fracture diagnosed either by repeat X-ray or bone scan 2 weeks after injury. 25 patients had a negative test, with ten having a scaphoid fracture visible on initial X-ray and three on repeat X-ray at 2 weeks. These results show that this test had a sensitivity of 70.5%, a specificity of 21.8% and predictive value of 41.9%. A positive scaphoid compression test is an unreliable diagnostic aid for a scaphoid fracture.

引用

页码：748 / 749

页数：2

共 5 条

[1]

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[2]

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[3]

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[4]

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[5]

Young, Lowry, Laird, Ferguson, <sup>99</sup>TC—MDP bone scanning of injuries of the carpal scaphoid, Injury, 19, 1, pp. 14-17, (1988)

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