Analysis of instability patterns in acute scaphoid fractures by 4-dimensional computed tomographic imaging – A prospective cohort pilot study protocol

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Analysis of instability patterns in acute scaphoid fractures by 4-dimensional computed tomographic imaging – A prospective cohort pilot study protocol M.G.A. de Roo, J.G.G. Dobbe, M.L. Ridderikhof, J.C. Goslings, C.M.A.M. van der Horst, L.F.M. Beenen, G.J. Streekstra, S.D. Strackee International Journal of Surgery Protocols Volume 9, Pages 1-5 (January 2018) DOI: 10.1016/j.isjp.2018.04.003 Copyright © 2018 The Authors Terms and Conditions

Fig. 1 The scaphoid articulates with 5 surrounding bones. It plays a key role in the stability of the wrist and wrist mechanics. International Journal of Surgery Protocols 2018 9, 1-5DOI: (10.1016/j.isjp.2018.04.003) Copyright © 2018 The Authors Terms and Conditions

Fig. 2 Workflow diagram for patients with a scaphoid fracture. A 4D-CT scan during flexion-extension and radioulnar deviation of both wrists is obtained. *Patients are followed up until the scaphoid fragments are united. International Journal of Surgery Protocols 2018 9, 1-5DOI: (10.1016/j.isjp.2018.04.003) Copyright © 2018 The Authors Terms and Conditions

Fig. 3 Division of the scaphoid into three parts of equal length as measured along the central axis: distal (no. 1), central (no. 2) and proximal (no. 3) part of the healthy scaphoid. International Journal of Surgery Protocols 2018 9, 1-5DOI: (10.1016/j.isjp.2018.04.003) Copyright © 2018 The Authors Terms and Conditions