Short MRI Protocol for Excluding Traumatic Lesions of the Scaphoid Bone in Children

Abstract

Background/aim: Management of scaphoid trauma includes imaging with repeated X-rays whose interpretation is difficult and often ambivalent. The aim of the study was to propose a fast magnetic resonance imaging (MRI) protocol permitting exclusion of traumatic lesions of the scaphoid bone in children, which would avoid unnecessary immobilization and irradiation in negative cases.

Patients and methods: Two pediatric radiologists retrospectively reviewed the X-rays and MRIs of 45 children with clinical suspicion of scaphoid trauma. X-Rays and MRI sequences [short tau inversion recovery (STIR), T1] were scored as: 0 (negative) or 1 (equivocal or positive). X-ray results were compared to those of MRI and interobserver reliability was measured for both methods.

Results: MRI was shown to be more reliable than X-ray in excluding pediatric traumatic scaphoid lesions. X-Ray results differed significantly between the two readers (p=0.0001), and the interobserver reliability was low (κ=0.529). For MRI interpretation, there was no significant difference between the two readers' assessments. The interobserver reliability was high (κ=0.9544) and only in one case was there discordance. Absence of scaphoid trauma was confirmed on MRI in 18 out of 45 patients. For these patients, immobilization was reconsidered and no follow-up X-ray was performed.

Conclusion: Early MRI is useful in the management of pediatric scaphoid trauma. A short MRI protocol consisting of a STIR and a T1 sequence is sufficient for differentiating positive from negative cases and gives a good negative predictive value for exclusion of a traumatic scaphoid lesion.

Keywords: Scaphoid bone; bone fracture; children; diagnosis; magnetic resonance imaging.