Volume CT of the Wrist and Carpus After Trauma

Volume CT of the Wrist and Carpus After Trauma: A Pilot Study

The purpose of this study is to evaluate whether standard volume computed tomography (CT) has impact on treatment in patients with suspicion of fractures of the wrist and carpus.

Inclusion Criteria:

• Patients (18 years and older) who are referred to our hospital for conventional radiography of the wrist and carpus
• Recent trauma mechanism (within 3 days before presentation)
• Clinical suspicion of fractures of the wrist and carpus. The carpus includes all carpal bones, but does not include the metacarpal bones.

Exclusion Criteria:

• Patients who were not evaluated by a clinician before imaging was performed.
• Open fractures
• No informed consent or no prospective data collection could be obtained. Informed consent cannot be obtained in case patients do not speak or understand Dutch.
• Patients who cannot be positioned in upright position, immobilized on a spine board or transferred to the intensive care unit and cannot undergo upright CT