Description
In this presentation at a symposium, Andrew Duckworth discusses the complexities of diagnosing suspected scaphoid fractures, the most common fractures of the wrist among young and active individuals. He outlines previous studies highlighting the challenges in clinical assessment and variability in imaging protocols, stressing the inadequacy of current clinical signs and imaging techniques. The talk reviews literature on various imaging methods, including radiography, MRI, and bone scintigraphy, emphasizing the need for improved diagnostic accuracy through clinical prediction rules and risk stratification. Duckworth suggests that further imaging should focus on higher-risk patients to improve outcomes and mitigate unnecessary surgeries or immobilization, while also noting the potential role of AI in enhancing diagnosis. He concludes by urging for a balanced approach that minimizes risks while addressing the challenges in diagnosing scaphoid fractures.
DOI: 10.1302/3114-221333