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These effects usually last for a few moments. If you require anti-anxiety medication due to claustrophobia, contact your ordering physician for a prescription. Each case was classified as healing, not healing, or equivocal. Based on your medical condition, your health care provider may require other specific preparation. Once the scan is complete, the table will slide out of the scanner and you will be assisted off the table. While the MRI procedure itself causes no pain, having to lie still for the length of the procedure might cause some discomfort or pain, particularly in the case of a recent injury or invasive procedure such as surgery. Get the facts on diseases, conditions, tests and procedures. The fractures are classified according to stability, location and displacement of the fracture. Efficacy of high resolution computed tomography for detection of early healing in scaphoid fractures. If you have a history of kidney disease, kidney failure, kidney transplant, liver disease or are on dialysis, you must inform the MRI technologist or radiologist prior to receiving contrast. You will lie on a scan table that slides into a large circular opening of the scanning machine. Thus, the objective of this investigation is to stimulate discussion of radiologists, orthopaedic surgeons and residents regarding the use of high-resolution slice computed tomography CT in the follow-up of scaphoid fractures. At intervals, you may be instructed to hold your breath, or to not breathe, for a few seconds, depending on the body part being examined. Please remove all piercings and leave all jewelry and valuables at home. Moreover, displaced fractures require open reduction and internal fixation with Kirschner wires or a Herbert screw and four to six months of rehabilitation [4].

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Description: The added limitation is the increased costs and reduced availability of CT scanners compared to plain radiography though is commonplace throughout hospitals in Canada and many countries worldwide. Displacement or widening of the fracture at this point is managed surgically. For patients presenting with a scaphoid fracture, anteroposterior AP view plain radiographs of the wrist were taken upon initial presentation and at 6 week follow-up were assessed Figure 1. If you require anti-anxiety medication due to claustrophobia, contact your ordering physician for a prescription. After explaining the risk of the excess radiation from the CT scan, patients who consented were included. Australia and New Zealand Journal of Surgery, 82, Find a physician at another Johns Hopkins Member Hospital. Six weeks after initial identification and management of the fracture, they had follow-up radiographs, slice CT, and MRI to monitor fracture healing. This can result in a limited range of motion and grip strength in patients. If contrast dye is used for your procedure, you may feel some effects when the dye is injected into the IV line. Johns Hopkins Home Care We provide high quality, individualized care for patients of all ages where you feel most comfortable — your home or community. Due to the use of the strong magnet, special precautions must be taken to perform an MRI on patients with certain implanted devices such as pacemakers or cochlear implants.
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