{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T01:56:49Z","timestamp":1776131809251,"version":"3.50.1"},"reference-count":62,"publisher":"Oxford University Press (OUP)","issue":"1086","license":[{"start":{"date-parts":[[2018,3,13]],"date-time":"2018-03-13T00:00:00Z","timestamp":1520899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,6,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To determine the diagnostic accuracy of cross-sectional imaging for the diagnosis of acute scaphoid fractures in children.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>A systematic review of Medline, Embase and Cochrane databases between 1980 and July 2017 was independently performed by two observers. Criteria for study inclusion in a meta-analysis and assessment of the quality of such studies using the QADAS tool, were predetermined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>No studies were eligible for inclusion in a meta-analysis. Three studies (of low quality when assessed against the STARD guidelines for reporting of studies of diagnostic accuracy) assessed MRI (performed between Days 2 and 10 after acute injury) for the diagnosis of scaphoid fractures in a total of 119 children (age range 6 to 16 years). Study 1 (45 children) reported inter-observer reliability of radiographs and MRI of 0.53 and 0.95 respectively. Study 3 (18 children) reported a negative predictive value of MRI (even as early as Day 2), of 100%. No measure of diagnostic accuracy or observer reliability was reported in Study 2 (56 children). In all 3 studies, MRI identified more scaphoid fractures (and other carpal injuries) than radiographs. Study 3 showed that follow-up MRI between Days 38 and 45 added no new information compared to initial MRI.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>Based on a systematic review of the literature, there is currently no evidence on which to suggest an imaging protocol for suspected scaphoid fracture in children. Until such evidence is available, existing guidelines (which are based on findings from adult studies) should be followed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>(1)\u00a0There is low quality evidence regarding the diagnostic accuracy of cross-sectional imaging for suspected scaphoid fractures in children and no evidence on which to propose an optimal imaging strategy.\u00a0(2)\u00a0Until such evidence is available, current guidelines (based predominantly on findings in adults and expert opinion) should be followed.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20170883","type":"journal-article","created":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T16:23:39Z","timestamp":1517243019000},"source":"Crossref","is-referenced-by-count":8,"title":["The diagnostic accuracy of cross-sectional imaging for detecting acute scaphoid fractures in children: a systematic review"],"prefix":"10.1093","volume":"91","author":[{"given":"Amaka C","family":"Offiah","sequence":"first","affiliation":[{"name":"Department of Oncology and Metabolism, Academic Unit of Child Health, University of Sheffield, Damer Street Building, Sheffield Children\u2019s NHS Foundation Trust, Western Bank , Sheffield, S10 2TH , UK"},{"name":"Department of Radiology, Sheffield Children\u2019s NHS Foundation Trust, Western Bank\u00a0Library , Sheffield , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek","family":"Burke","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Sheffield Children\u2019s NHS Foundation Trust, Western Bank Library , Sheffield , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2018,3,13]]},"reference":[{"key":"2024050214242540200_b1","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ocl.2012.09.003","article-title":"The scaphoid","volume":"44","author":"Sendher","year":"2013","journal-title":"Orthop Clin North Am"},{"key":"2024050214242540200_b2","first-page":"616","article-title":"Carpal scaphoid fracture in the skeletally immature: a single centre one-year prospective study","volume":"75","author":"Tan","year":"2009","journal-title":"Acta Orthop Belg"},{"key":"2024050214242540200_b3","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/BPO.0000000000000102","article-title":"The pediatric fracture of the scaphoid in patients aged 13 years and under: an epidemiological study","volume":"34","author":"Ahmed","year":"2014","journal-title":"J Pediatr Orthop"},{"key":"2024050214242540200_b4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/01241398-198601000-00008","article-title":"Scaphoid fractures in children","volume":"6","author":"Christodoulou","year":"1986","journal-title":"J Pediatr Orthop"},{"key":"2024050214242540200_b5","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.2106\/JBJS.J.01729","article-title":"Scaphoid fractures in children and adolescents: contemporary injury patterns and factors influencing time to union","volume":"93","author":"Gholson","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"2024050214242540200_b6","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/j.jhsa.2014.06.004","article-title":"Clinical diagnostic evaluation for scaphoid fractures: a systematic review and meta-analysis","volume":"39","author":"Mallee","year":"2014","journal-title":"J Hand Surg Am"},{"key":"2024050214242540200_b7","first-page":"21","volume-title":"Imaging of the scaphoid RAD magazine","author":"Brown","year":"2017"},{"key":"2024050214242540200_b8","unstructured":"Wikiradiography\n.\nScaphoid radiography\n.\n2017\n. Available from:\nhttp:\/\/www.wikiradiography.net\/page\/Scaphoid+Radiography\n[\nJuly 2017\n]"},{"key":"2024050214242540200_b9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1177\/0036933013496950","article-title":"The suspected scaphoid injury: resource implications in the absence of magnetic resonance imaging","volume":"58","author":"Burns","year":"2013","journal-title":"Scott Med J"},{"key":"2024050214242540200_b10","unstructured":"American College of Radiology\n.\nAppropriateness criteria acute hand and wrist trauma\n.\n2017\n. Available from:\nhttps:\/\/acsearch.acr.org\/docs\/69418\/Narrative\/\n[\nAccessed December 2017\n]"},{"key":"2024050214242540200_b11","volume-title":"Guideline for the management of suspected scaphoid fractures in the emergency department","author":"Machin","year":"2013"},{"key":"2024050214242540200_b12","volume-title":"Making the best use of clinical radiology services: referral guidelines","author":"Royal College of Radiologists","year":"2011","edition":"7th Ed"},{"key":"2024050214242540200_b13","unstructured":"NICE\n.\nFractures (non-complex): assessment and management national institute for health and care excellence (NICE) guideline\n.\n2017\n. 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