Which combination of clinical tests best predict a scaphoid fracture
Research type
Research Study
Full title
Can five commonly used clinical tests predict a scaphoid fracture in the presence of negative initial x-ray series.
IRAS ID
342405
Contact name
Andrew McDonough
Contact email
Sponsor organisation
Northern Care Alliance
Clinicaltrials.gov Identifier
24TEC01-S, sponsor reference
Duration of Study in the UK
0 years, 3 months, 1 days
Research summary
The aim of this study is to see if any clinical test, or combination of tests used in that clinic predict a scaphoid fracture on MRI scan. Our previous published research on this area (2021) showed some positive results but were not conclusive. We aim to increase the cohort of patients to expand on this prior research.
Clinical assessment and detection of a scaphoid fracture remains a diagnostic challenge. prior clinical prediction rules have failed to be replicated and there is disagreement on appropriate imaging protocols.
We provide review of the largest single cohort of patients with possible scaphoid fractures. We review five commonly used clinical tests and look for statistical probability of a scaphoid fracture. We also propose to perform a safety and cost analysis of our scaphoid pathway against recent NICE and RCEM guidelines for cost effectiveness comparison.REC name
South West - Frenchay Research Ethics Committee
REC reference
24/SW/0121
Date of REC Opinion
17 Oct 2024
REC opinion
Unfavourable Opinion