Scaphoid and pronator fat stripes are unreliable soft tissue signs in the detection of radiographically occult fractures.

Abstract:

AIM:To determine the clinical value of scaphoid and pronator fat stripes in identifying occult underlying scaphoid and distal radius fractures, respectively. MATERIALS AND METHODS:In our department, all patients with clinically suspected scaphoid fractures and normal scaphoid series of radiographs undergo magnetic resonance imaging (MRI) of the wrist. We selected 50 cases with unequivocal MRI evidence of scaphoid fracture, 50 cases with distal radius fracture and 50 cases with no MRI evidence of bony injury. All 150 initial plain radiographs were examined retrospectively in random order without knowledge of the MRI findings and the scaphoid and pronator fat stripes scrutinized. RESULTS:The scaphoid fat stripe was abnormal in only 25 cases (50%) with confirmed scaphoid fracture on MRI. The pronator fat stripe was abnormal in 13 cases (26%) with confirmed distal radius fracture. In the 50 cases with no MRI evidence of bony injury, the scaphoid fat stripe and pronator fat stripe were abnormal in 25 (50%) and 15 (30%) cases, respectively. The sensitivity and specificity for an abnormal scaphoid fat stripe was 50%. The sensitivity and specificity for an abnormal pronator fat stripe was 26 and 70%, respectively. CONCLUSION:Scaphoid and pronator fat stripes are poor predictors of the presence or absence of underlying occult fractures.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Annamalai G,Raby N

doi

10.1016/s0009-9260(03)00230-7

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

798-800

issue

10

eissn

0009-9260

issn

1365-229X

pii

S0009926003002307

journal_volume

58

pub_type

杂志文章
  • Implementing lung cancer screening: the US experience.

    abstract::The reduced lung cancer mortality observed with low-dose computed tomography (LDCT) screening in the National Lung Screening Trial (NLST) has led to annual screening in the United States as a covered benefit by both private insurers and the federal health insurance programme, the Centers for Medicare and Medicaid Serv...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2016.12.003

    authors: Aberle DR

    更新日期:2017-05-01 00:00:00

  • Spectral CT imaging in the differential diagnosis of necrotic hepatocellular carcinoma and hepatic abscess.

    abstract:AIM:To explore the value of CT spectral imaging in the differential diagnosis of necrotic hepatocellular carcinoma (nHCC) and hepatic abscess (HA) during the arterial phase (AP) and portal venous phase (PP). MATERIALS AND METHODS:Sixty patients with 36 nHCCs and 24 HAs underwent spectral CT during AP and PP. Iodine or...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2014.08.018

    authors: Yu Y,Guo L,Hu C,Chen K

    更新日期:2014-12-01 00:00:00

  • NHS Breast Screening multidisciplinary working group guidelines for the diagnosis and management of breast lesions of uncertain malignant potential on core biopsy (B3 lesions).

    abstract::Needle core biopsy is considered the histological diagnostic method of choice for screen-detected breast lesions. Although the majority are definitively diagnosed as normal, benign, or malignant, approximately 7% are categorised as B3, of uncertain malignant potential. These include a wide range of lesions with differ...

    journal_title:Clinical radiology

    pub_type: 杂志文章,实务指引

    doi:10.1016/j.crad.2018.04.004

    authors: Pinder SE,Shaaban A,Deb R,Desai A,Gandhi A,Lee AHS,Pain S,Wilkinson L,Sharma N

    更新日期:2018-08-01 00:00:00

  • Evaluation of the role of computed tomography in radiotherapy treatment planning.

    abstract::The role of computed tomography (CT) in radiotherapy treatment planning was assessed in a series of 231 patients in whom treatment was planned with radical intent. For each patient, a treatment plan was produced by the best conventional techniques in use at the Middlesex Hospital. Each patient then underwent a CT scan...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(84)80021-5

    authors: Adam EJ,Berry RJ,Clitherow S,Bedford A

    更新日期:1984-03-01 00:00:00

  • Inflammatory myofibroblastic tumour of the maxillary sinus: CT and MRI findings.

    abstract:AIM:To characterize the computed tomography (CT) and magnetic resonance imaging (MRI) findings of inflammatory myofibroblastic tumours (IMTs) of the maxillary sinus. MATERIALS AND METHODS:The imaging findings of eight patients with IMTs of the maxillary sinus were reviewed retrospectively. Of the eight patients, four ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2012.08.002

    authors: Yuan XP,Li CX,Cao Y,Singh S,Zhong R

    更新日期:2012-12-01 00:00:00

  • Case report: ultrasound and MRI findings in a scrotal epidermoid cyst.

    abstract::Intrascrotal masses in the adult are worrisome due to their possible malignancy. Most intratesticular masses are malignant whereas most extratesticular masses are benign. The differential diagnosis of intrascrotal cysts usually includes simple testicular cysts, intratesticular epidermoid and dermoid cysts, tunica albu...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)83198-8

    authors: Koenigsberg RA,Kelsey D,Friedman AC

    更新日期:1995-08-01 00:00:00

  • Duplex ultrasound of the abdominal aorta--a neglected tool in aortic dissection.

    abstract::The use of duplex ultrasound for the diagnosis and assessment of abdominal aortic dissection and visceral arterial involvement is discussed. Ultrasound is simple and non-invasive and may be superior to aortography in diagnosis; it should be performed after ultrasound assessment of the aortic root. It also provides an ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)82147-6

    authors: Thomas EA,Dubbins PA

    更新日期:1990-11-01 00:00:00

  • How confident are general practitioners in interpreting neuroradiology reports?

    abstract:AIM:To determine the level of confidence general practitioners (GPs) have in radiology reports provided by neuroradiologists and to elicit the preferences of GPs regarding report format and level of detail. MATERIALS AND METHODS:Electronic surveys comprising anonymised neuroradiology reports were sent to GP practices ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2018.06.013

    authors: Currie S,Saunders D,Khoshneviszadeh S,Craven I

    更新日期:2018-11-01 00:00:00

  • A prospective clinical trial of post-operative radiotherapy delivered in three fractions per week versus two fractions per week in breast carcinoma.

    abstract::The results are presented of a five-year prospective trial of 411 patients with breast carcinoma treated by mastectomy and post-operative radiotherapy. Twice or thrice weekly dose-fractionation techniques were used, i.e. 12 fractions in 28 days and six fractions in 18 days. The results show that, in terms of survival ...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0009-9260(75)80064-x

    authors: Bates TD

    更新日期:1975-07-01 00:00:00

  • Transrectal ultrasound-guided biopsy of the prostate: aspirin increases the incidence of minor bleeding complications.

    abstract:AIM:To assess whether patients taking aspirin were more likely to experience bleeding complications after transrectal ultrasound (TRUS)-guided prostate biopsy. MATERIALS AND METHODS:Three hundred and eighty-seven patients taking aspirin who underwent prostate biopsy over a 3.5 year period and 731 patients not taking a...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2007.09.014

    authors: Halliwell OT,Yadegafar G,Lane C,Dewbury KC

    更新日期:2008-05-01 00:00:00

  • The distended neonate.

    abstract::A prospective study, followed by a retrospective audit, was made of the radiographs and clinical features of 225 consecutive neonates with abdominal distension presenting during a period of 4 years. More than one major cause for the distension was found in a third of cases. Excluding cases of ano-rectal atresia, diagn...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(83)80217-7

    authors: Carty H,Brereton RJ

    更新日期:1983-07-01 00:00:00

  • Evaluation of patients undergoing lung volume reduction surgery: ancillary information available from computed tomography.

    abstract:AIM:A number of imaging techniques have been used for the pre-operative assessment of patients for lung volume reduction surgery (LVRS). We evaluated whether data currently acquired from perfusion scintigrams and cine MR of the diaphragm are obtainable from high resolution CT (HRCT) of the thorax. MATERIALS AND METHOD...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1053/crad.1999.0326

    authors: Cleverley JR,Desai SR,Wells AU,Koyama H,Eastick S,Schmidt MA,Charrier CL,Gatehouse PD,Goldstraw P,Pepper JR,Geddes DM,Hansell DM

    更新日期:2000-01-01 00:00:00

  • Comparison of Doppler ultrasound, magnetic resonance angiographic techniques and catheter angiography in evaluation of carotid stenosis.

    abstract:AIM:To compare the accuracy of ultrasound and two magnetic resonance (MR) angiographic techniques with catheter angiography in assessing atherosclerosis at the carotid bifurcation. MATERIALS AND METHODS:Forty patients with symptomatic carotid stenosis were studied by Doppler ultrasound, time-of-flight MR angiography, ...

    journal_title:Clinical radiology

    pub_type: 临床试验,杂志文章

    doi:10.1053/crad.2000.0518

    authors: Johnson MB,Wilkinson ID,Wattam J,Venables GS,Griffiths PD

    更新日期:2000-12-01 00:00:00

  • Obesity and extent of emphysema depicted at CT.

    abstract:AIM:To investigate the underlying relationship between obesity and the extent of emphysema depicted at CT. METHODS AND MATERIALS:A dataset of 477 CT examinations was retrospectively collected from a study of chronic obstructive pulmonary disease (COPD). The low attenuation areas (LAAs; ≤950 HU) of the lungs were ident...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.01.007

    authors: Gu S,Li R,Leader JK,Zheng B,Bon J,Gur D,Sciurba F,Jin C,Pu J

    更新日期:2015-05-01 00:00:00

  • Disorders of the lymphatic system of the abdomen.

    abstract::The lymphatic system of the abdomen comprises of the cisterna chyli, its major and minor lymphatic tributaries, and lymph nodes. Disorders of the lymphatic system of the abdomen are rarely encountered and consist of primary and secondary types. Abdominal lymphangiomas constitute the majority and have characteristic im...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2016.06.116

    authors: Patil AR,Nandikoor S,De Marco J,Bhat R,Shivakumar S,Mallrajapatna G

    更新日期:2016-10-01 00:00:00

  • The role of hepatic arterial embolization in the treatment of spontaneous rupture of hepatocellular carcinoma.

    abstract::Thirty-three patients presenting with spontaneous rupture of hepatocellular carcinomas (HCCs) were referred for emergency transcatheter arterial embolization. Blood was present in the ascitic fluid on abdominal paracentesis in all 33 patients. Seventeen patients underwent emergency computed tomography (CT). HCCs were ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(98)80004-4

    authors: Ngan H,Tso WK,Lai CL,Fan ST

    更新日期:1998-05-01 00:00:00

  • The trigeminal nerve: an illustrated review of its imaging anatomy and pathology.

    abstract::The trigeminal nerve is the largest cranial nerve and has both sensory and motor components. Due to its extensive distribution in the head and neck, the nerve or its branches may be involved by a myriad of disease entities. Additionally, the nerve may act as a route of spread in various inflammatory and neoplastic dis...

    journal_title:Clinical radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.crad.2012.05.019

    authors: Bathla G,Hegde AN

    更新日期:2013-02-01 00:00:00

  • The application of clinical guidelines for skull radiography in the Accident and Emergency department: theory and practice.

    abstract::Clinical guidelines for the selection of patients with head injuries for skull radiography, based on those formulated by the Royal College of Radiologists, were introduced into the Accident and Emergency department at the Manchester Royal Infirmary. Before the guidelines were implemented 94 skull X-rays were obtained ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)80957-2

    authors: Clarke JA,Adams JE

    更新日期:1990-03-01 00:00:00

  • Computed tomography in the assessment of response to limb compression in unilateral lymphoedema.

    abstract::In this prospective study computed tomography (CT) was used to monitor the response of compression therapy in 27 patients with chronic unilateral lymphoedema over a 12 week period. Computed tomography examination of abnormal and normal limbs (proximal and distal portions) was performed in the first, third and 12th wee...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)83188-5

    authors: Collins CD,Mortimer PS,D'Ettorre H,A'Hern RP,Moskovic EC

    更新日期:1995-08-01 00:00:00

  • The significance of conjugated phenobutiodil (biliodyl) in the intestine in the absence of gallbladder opacification a preliminary assessment.

    abstract::Conjugated phenobutiodil (Biliodyl) in the small and large bowel can be recognised by its fine, homogeneous appearance. The findings in 41 patients undergoing oral cholecystography with subsequent clinical follow-up are reported. When the gallbladder fails to opacify on oral cholecystography, the presence of conjugate...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(77)80183-9

    authors: Calder JF

    更新日期:1977-05-01 00:00:00

  • Nuclear magnetic resonance imaging in the assessment of unusual abdominal aortic aneurysms.

    abstract::Ultrasound and computed tomography (CT) have become primary methods of evaluating patients with abdominal aortic aneurysms. Arteriography may be necessary for further assessment. We have recently investigated two patients with complicated abdominal aortic aneurysms, one patient with Marfan's syndrome and the other wit...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(85)80328-7

    authors: Barter SJ,Hicks IP,Hartnell GG,Leung AW

    更新日期:1985-07-01 00:00:00

  • Radiation osteitis following irradiation for breast cancer.

    abstract::Radiographs of the shoulder girdle were examined in 180 women who attended the breast follow-up clinic at the Department of Radiotherapy, Edinburgh. These comprised 52 controls who had been treated by radical mastectomy alone and 128 patients who had received post-operative X-ray therapy. The significance of osteoporo...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(77)80134-7

    authors: Langlands AO,Souter WA,Samuel E,Redpath AT

    更新日期:1977-01-01 00:00:00

  • Radiographer workforce role expansion to improve patient safety related to nasogastric tube placement for feeding in adults.

    abstract:AIM:To determine whether the active involvement of radiographers in nasogastric tube (NGT) management at a large multisite healthcare institution can contribute to risk reduction regarding feeding through misplaced NGTs. MATERIALS AND METHODS:Despite national guidance in the National Health Service advising on safe pr...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2016.12.018

    authors: Roe G,Harris KM,Lambie H,Tolan DJM

    更新日期:2017-06-01 00:00:00

  • Low-dose contrast-enhanced time-resolved MR angiography at 3T: diagnostic accuracy for treatment planning and follow-up of vascular malformations.

    abstract:AIM:To assess the accuracy of low-dose contrast-enhanced time-resolved 3T magnetic resonance angiography (MRA) for the morphological and functional assessment of vascular malformations (VM), and to evaluate its diagnostic potential for the depiction of treatment-induced changes. MATERIALS AND METHODS:Twenty-five patie...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2011.08.003

    authors: Anzidei M,Cavallo Marincola B,Napoli A,Saba L,Zaccagna F,Lucatelli P,Fanelli F,Bassetti E,Salvatori FM,Catalano C,Passariello R

    更新日期:2011-12-01 00:00:00

  • CT herniography in the diagnosis of occult groin hernias.

    abstract:AIM:To evaluate the role of computed tomography (CT) after herniography in the diagnosis and management of primary and recurrent groin hernias not detectable on clinical examination. MATERIAL AND METHODS:Fifty-one patients underwent CT post-herniography over a 6-year period for suspected primary or recurrent inguinal ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2004.02.013

    authors: Markos V,Brown EF

    更新日期:2005-02-01 00:00:00

  • Central giant cell granuloma of the jaws: a clinico-radiological study.

    abstract::There is disagreement in the literature about the radiological appearance of the central giant cell granuloma (CGCG) of the jaws. A review of 26 cases of CGCG was undertaken with the aim of resolving this. CGCG were found over a wide age range but most occurred in the 2nd and 3rd decades. Females were more frequently ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(89)80325-3

    authors: Horner K

    更新日期:1989-11-01 00:00:00

  • Magnetic resonance imaging of Trilucent TM breast implants.

    abstract:AIM:To demonstrate the magnetic resonance imaging (MRI) appearances of intact and ruptured Trilucent TM implants with imaging and surgical correlation. The appearances of the implant transponder artefact are also described MATERIALS AND METHODS:A retrospective review of the MRI findings in 34 patients with bilateral s...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1053/crad.2001.0767

    authors: Elson EM,Jones A,King R,Chapman P,Stanek J,Irvine AT,Bingham JB

    更新日期:2002-04-01 00:00:00

  • Collateral circulation via the circle of Willis in patients with carotid artery steno-occlusive disease: evaluation on 3-T 4D MRA using arterial spin labelling.

    abstract:AIM:To evaluate whether 3-T four-dimensional (4D) arterial spin-labelling (ASL) -based magnetic resonance angiography (MRA) is useful for assessing the collateral circulation via the circle of Willis in patients with carotid artery steno-occlusive disease. MATERIALS AND METHODS:Institutional review board approval and ...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/j.crad.2015.05.002

    authors: Iryo Y,Hirai T,Nakamura M,Inoue Y,Watanabe M,Ando Y,Azuma M,Nishimura S,Shigematsu Y,Kitajima M,Yamashita Y

    更新日期:2015-09-01 00:00:00

  • Feasibility, accuracy and safety of magnetic resonance imaging in acute aortic dissection.

    abstract::Magnetic resonance imaging (MRI) is the most accurate method of defining the morphology and haemodynamic features of thoracic aortic dissection. However, because of doubts about its safety in acute situations, its use has so far been confined to imaging chronic dissections. We present a prospective study of 50 patient...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(05)83160-5

    authors: Panting JR,Norell MS,Baker C,Nicholson AA

    更新日期:1995-07-01 00:00:00

  • Radiographic aspects of occult pulmonary haemorrhage.

    abstract::Patients with leukaemia, on anticoagulant therapy, or with disseminated intravascular coagulation may develop occult pulmonary haemorrhage; it will mimic pulmonary oedema, pulmonary hemosiderosis or opportunistic infections. It can be diagnosed by bronchopulmonary lavage. The radiographic changes are described and the...

    journal_title:Clinical radiology

    pub_type: 杂志文章

    doi:10.1016/s0009-9260(78)80217-7

    authors: Palmer PE,Finley TN,Drew WL,Golde DW

    更新日期:1978-03-01 00:00:00