Abstract:
OBJECTIVE:The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness. METHODS:Data on scaphoid fractures treated in the orthopedic department at Tripler Army Medical Center were collected from January 1, 2001, through December 31, 2003. Demographic variables included gender, age, and military rank. RESULTS:The incidence of scaphoid fractures in our population was 43 cases per 100,000 personnel per year. An algorithm to guide nonorthopedic providers was developed after review of the medical literature. CONCLUSION:We present an algorithm-based approach to soldiers presenting with post-traumatic wrist pain. The algorithm was fashioned with the aim of reducing complications and poor outcomes associated with delayed diagnosis of scaphoid fractures, affecting soldier health and unit readiness. A prospective study of the algorithm is underway.
journal_name
Mil Medjournal_title
Military medicineauthors
Burtis MT,Faillace J,Martin LF,Hermenau Sdoi
10.7205/milmed.171.5.404subject
Has Abstractpub_date
2006-05-01 00:00:00pages
404-8issue
5eissn
0026-4075issn
1930-613Xjournal_volume
171pub_type
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journal_title:Military medicine
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journal_title:Military medicine
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journal_title:Military medicine
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