3D mapping of scaphoid fractures and comminution

Arthur Turow, Anne Eva Bulstra, Miriam Oldhoff, Batur Hayat, Job Doornberg, John White, Ruurd L. Jaarsma, Gregory I. Bain

Research output: Contribution to journalArticle

Abstract

Objective: Acute and subacute scaphoid fractures were assessed using 3D computer tomography (CT). The aims were to describe fracture morphology, to map fractures onto a 3D scaphoid model and to correlate this to scaphoid anatomy. Materials and methods: A retrospective, multicentre database search was performed to identify CT studies of acute and subacute scaphoid fractures. CT scans of scaphoid fractures less than 6 weeks from time of injury were included in this retrospective, multicentre study. CTs were segmented and converted into three-dimensional models. Following virtual fracture reduction, fractures were mapped onto a three-dimensional scaphoid model. Results: Seventy-five CT scans were included. The median delay from injury to CT was 29 days. Most studies were in male patients (89%). Most fractures were comminuted (52%) or displaced (64%). A total of 73% of displaced fractures had concomitant comminution. Waist fractures had higher rates of comminution and displacement when compared with all other fractures. Comminution was located along the dorsal ridge and the volar scaphoid waist. Conclusion: Our study is the first to describe acute fracture morphology using 3D CT and to correlate comminution and displacement to fracture types. The dorsal ridge and volar waist need prudent assessment, especially in waist fractures.

Original languageEnglish
Number of pages15
JournalSkeletal Radiology
Early online date16 May 2020
DOIs
Publication statusE-pub ahead of print - 16 May 2020

Keywords

  • 3D CT
  • Acute fractures
  • Classification
  • Computer tomography
  • Scaphoid

Fingerprint Dive into the research topics of '3D mapping of scaphoid fractures and comminution'. Together they form a unique fingerprint.

  • Cite this

    Turow, A., Bulstra, A. E., Oldhoff, M., Hayat, B., Doornberg, J., White, J., Jaarsma, R. L., & Bain, G. I. (2020). 3D mapping of scaphoid fractures and comminution. Skeletal Radiology. https://doi.org/10.1007/s00256-020-03457-1