Detecting scaphoid fractures in wrist injury: a clinical decision rule.
CONCLUSIONS: This dataset provided a simple clinical decision rule for scaphoid fractures following acute wrist injury that limits unnecessary immobilization and imaging with a decreased risk of missing a fracture compared to current clinical practice.
CLINICAL PREDICTION RULE: 1/(1 + EXP (-(0.649662618 × if man) + (0.51353467826 × if swelling anatomic snuffbox) + (-0.79038263985 × if painful palpation anatomic snuffbox) + (0.57681198857 × if painful ulnar deviation) + (0.66499549728 × if painful thumb compression)-1.685).
TRIAL REGISTRATION: Trial register NTR 2544, www.trialregister.nl.
PMID: 32125528 [PubMed - as supplied by publisher]
Source: Hand Surgery - Category: Surgery Authors: Mallee WH, Walenkamp MMJ, Mulders MAM, Goslings JC, Schep NWL Tags: Arch Orthop Trauma Surg Source Type: research