Scaphoid fracture detection in a military population: a standardized approach for medical referral. Mil Med 2006 May;171(5):404-8
Date
06/10/2006Pubmed ID
16761890DOI
10.7205/milmed.171.5.404Scopus ID
2-s2.0-33646591218 (requires institutional sign-in at Scopus site) 5 CitationsAbstract
OBJECTIVE: The objective was to test, refine, and implement an algorithm for early detection and referral of clinical scaphoid fractures by U.S. Army medical personnel. Our goal was to reduce complications resulting from delayed diagnosis and to improve outcomes affecting soldier health and unit readiness.
METHODS: Data on scaphoid fractures treated in the orthopedic department at Tripler Army Medical Center were collected from January 1, 2001, through December 31, 2003. Demographic variables included gender, age, and military rank.
RESULTS: The incidence of scaphoid fractures in our population was 43 cases per 100,000 personnel per year. An algorithm to guide nonorthopedic providers was developed after review of the medical literature.
CONCLUSION: We present an algorithm-based approach to soldiers presenting with post-traumatic wrist pain. The algorithm was fashioned with the aim of reducing complications and poor outcomes associated with delayed diagnosis of scaphoid fractures, affecting soldier health and unit readiness. A prospective study of the algorithm is underway.
Author List
Burtis MT, Faillace J, Martin LF, Hermenau SAuthor
Leslie F. Martin MD, MPH Adjunct Assistant Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Female
Fractures, Bone
Humans
Male
Military Personnel
Referral and Consultation
Scaphoid Bone
United States
