Panoramic Versus Conventional Radiography of Scaphoid Fractures

Panoramic Versus Conventional Radiography of Scaphoid Fractures

Juan D. Berná¹, German Chavarria², Francisco Albaladejo², Luis Meseguer², Arturo Pellicer², Miguel A. Sánchez-Cañizares² and Domingo Pérez-Flores³

¹ Department of Radiology, University General Hospital, C.E.P. Quesada Sanz c/Dr. Quesada Sans s/n, Murcia 30005, Spain.
² Department of Traumatology, University General Hospital, Murcia 30005, Spain.
³ Department of Biostatistics, Faculty of Medicine, University of Murcia, Espinardo, Murcia 30100, Spain.

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Fig. 1A. —19-year-old man with wrist trauma. Conventional radiographic and panoramic examinations were performed 3 months after injury because of doubtful union of scaphoid fracture. Initial conventional radiograph shows doubtful scaphoid union.

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Fig. 1B. —19-year-old man with wrist trauma. Conventional radiographic and panoramic examinations were performed 3 months after injury because of doubtful union of scaphoid fracture. Panoramic radiograph shows fracture partially united (arrow). 1 = pisiform bone, 2 = triquetral bone, 3 = lunate bone, 4 = scaphoid bone, 5 = hamate bone, 6 = capitate bone, 7 = trapezoid bone, 8 = trapezium bone, D = centering guide of device.

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Fig. 1C. —19-year-old man with wrist trauma. Conventional radiographic and panoramic examinations were performed 3 months after injury because of doubtful union of scaphoid fracture. Conventional radiograph obtained 5 months after trauma shows fracture partially united, as seen in B.

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Fig. 2A. —20-year-old man who underwent bone graft because of nonunion of scaphoid fracture. Conventional radiographs obtained 12 months after trauma show doubtful fracture union.

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Fig. 2B. —20-year-old man who underwent bone graft because of nonunion of scaphoid fracture. Conventional radiographs obtained 12 months after trauma show doubtful fracture union.

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Fig. 2C. —20-year-old man who underwent bone graft because of nonunion of scaphoid fracture. Panoramic radiograph obtained at same time as A and B shows nonunion (fracture type D₁ [15]).

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Fig. 2D. —20-year-old man who underwent bone graft because of nonunion of scaphoid fracture. Panoramic radiograph obtained 4 months after implant shows fracture union.

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Fig. 3A. —49-year-old woman with acute trauma of wrist. Conventional radiography and panoramic radiography were performed 2 weeks after injury. Conventional radiographs shows no evidence of fracture.

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Fig. 3B. —49-year-old woman with acute trauma of wrist. Conventional radiography and panoramic radiography were performed 2 weeks after injury. Conventional radiographs shows no evidence of fracture.

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Fig. 3C. —49-year-old woman with acute trauma of wrist. Conventional radiography and panoramic radiography were performed 2 weeks after injury. Panoramic radiograph shows fracture line (arrow) (fracture type A₂ [15]).

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Fig. 4A. —20-year-old man with wrist trauma. Conventional radiography and panoramic radiography were performed 5 months after injury. Conventional radiograph shows doubtful union.

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Fig. 4B. —20-year-old man with wrist trauma. Conventional radiography and panoramic radiography were performed 5 months after injury. Panoramic radiograph shows delayed union (fracture type C [15]).

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