![]() PRWE (patient rated wrist evaluation) was used to score the outcome of the wrists at the end of 1 year. MRI findings showed superior correlation than bone scans with clinical findings on re-examination, which was done following the scans. MRI identified 4 significant soft tissue injuries and capsular edema in 29/33 cases, which were not identified on bone scans. 1 fracture was missed in both MRI and bone scan. Bone scans correlated with the site of injury in 10% of cases. We noted 9% (3/33) of false positive cases with bone scan. There was a correlation between MRI and bone scan in 5 Cases. Results: We detected fractures in 10 wrists on bone scans and 8 fractures on MRI scans. Clinical scoring was done after 1 year after the injury to assess the outcome of these injuries. PD Fat Saturation Axial and Coronal images were undertaken with MRI. The MRI and bone scan were done on the same day within 5-7 days after the injury. Materials and methods: A prospective study was done in 33 wrists that did not have a fracture wrist detectable on plain X-ray. To functionally score these wrist at the end of 1-year to assess the outcome. Moreover 30% patients with significant soft tissue injuries not diagnosed.Īim: To compare the MRI (magnetic resonance imaging) and bone scans in the diagnosis of X-Ray negative wrist injuries. 35% occult wrist fractures are undiagnosed on 2nd visit radiography (50% distal radius/ulna). Scaphoid injuries constitute about 60% of carpal injuries. Distal radius fractures are by far the most common. Introduction: Wrist injuries are common presentations at Accidents and Emergencies.
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