{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:06:19Z","timestamp":1787018779660,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T00:00:00Z","timestamp":1639699200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100015533","name":"University Hospitals Plymouth NHS Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015533","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023294","name":"The British Society for Surgery of the Hand","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100023294","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suspected scaphoid fracture (SF) after a fall on an outstretched hand is a common presentation in the emergency department. Magnetic resonance imaging (MRI) or computed tomography (CT) has been suggested to assist in the diagnosis or exclusion of SF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare MRI and CT at diagnosing occult SFs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>We routinely perform CT scans in patients with clinically suspected occult SF, after 7\u201310 days of injury following two negative radiographs. All eligible patients with a clinically suspected SF, but negative radiographs and a negative CT, underwent an MRI scan to assess further for evidence of occult fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 100 patients were included in our study. MRI showed fractures in 16% of the time (in 15 patients) when plain radiographs and CT did not. Of these fractures, 8% were SFs. In addition to fractures, 10% had bone bruising. A total of 25% of patients with fractures and bone bruising were referred to the hand surgery team for further follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study demonstrated that MRI would identify a radiographically occult SF more often than CT. This supports NICE guidelines which recommend MRI as the best early diagnostic tool for occult SFs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02841851211064595","type":"journal-article","created":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T05:10:51Z","timestamp":1639717851000},"page":"201-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Prospective comparison of magnetic resonance imaging and computed tomography in diagnosing occult scaphoid fractures"],"prefix":"10.1177","volume":"64","author":[{"given":"Ajay","family":"Sahu","sequence":"first","affiliation":[{"name":"London North West University Healthcare NHS Trust, Harrow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothy KC","family":"Kuek","sequence":"additional","affiliation":[{"name":"University Hospitals Plymouth NHS Trust, Derriford Hospital, Plymouth, 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