Deep Convolutional Neural Networks as a Diagnostic Aid—A Step Toward Minimizing Undetected Scaphoid Fractures on Initial Hand Radiographs

Abstract

Scaphoid fractures are the most common carpal bone fracture. If missed and untreated at initial evaluation, they can lead to a progressive pattern of debilitating wrist arthritis that may ultimately require salvage procedures, including wrist fusion. The concern over missing scaphoid fractures that are radiographically occult on initial plain radiographs has been an inspiration for many prior studies. 1 However, overtreating scaphoid fractures because of these concerns can lead to costly advanced imaging or unnecessary immobilization in a cast or splint.

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