Table 6.
Combined Diagnostic Accuracy of the Studies with no Limitations on QUADAS-2 and No Incorporation Bias (N = 7)
| Author(s) | Diagnostic test | Scaphoid fracture | Se % | Sp % | Accuracy % | PPV % | NPV % |
|---|---|---|---|---|---|---|---|
| Gabler (2001) [52] | Repeated clinical and radiological examinationsa | Scaphoid | 82–100 | 100 | 100 | 100 | 100 |
| Mallee (2016) [57] | Radiographs b | Scaphoid | 42–79 | 53–59 | 53–58 | 14–26 | 79–94 |
| Fusetti (2005) [51] and Platon (2011) [61] | Ultrasonography | Scaphoid | 92–100 | 42–100 | 54–100 | 30–100 | 97–100 |
| Mallee (2011) [56] | MRI | Scaphoid | 67 | 8 | 85 | 57 | 93 |
| Mallee (2011) [56] and Mallee (2014 [58] | (MD)CTc | Scaphoid | 33–67 | 89–96 | 79–91 | 40–80 | 86–93 |
| Borel (2017) [70] | CBCT | Scaphoid | 94 | 97 | 94 | 97 | |
| Author | Diagnostic test | Other carpal fracture | Sensitivity % | Specificity % | Accuracy % | PPV % | NPV % |
| Mallee (2014) [58] | Repeated clinical and radiological examinations | Other carpal bones | 75–100 |
aRepeated clinical and radiological examinations after 10 and 38 days
bRadiographs after 6 weeks evaluated with JPEG or DICOM files
cCT-scaphoid: reformations in planes defined by the long axis of the scaphoid versus CT-wrist: reformations made in the anatomic planes of the wrist