Which combination of clinical tests best predict a scaphoid fracture
Research type
Research Study
Full title
Which combination of clinical tests best predicts a radiologically occult scaphoid fracture on subsequent MRI
IRAS ID
352945
Contact name
Andrew McDonough
Contact email
Sponsor organisation
Northern Care Alliance NHS Foundation Trust
Duration of Study in the UK
0 years, 6 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. The aim is to validate prior research findings.
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
25/SW/0010
Date of REC Opinion
21 Feb 2025
REC opinion
Favourable Opinion