Interdisciplinary consensus statements on imaging of scaphoid fractures

@article{dietrich2026interdisciplinary,
  title = {{Interdisciplinary consensus statements on imaging of scaphoid fractures}},
  author = {Tobias Johannes Dietrich and James Teh and Rainer Schmitt and Alain Blum and Nina Hesse and Radhesh Krishna Lalam and Andoni Paul Toms and Fabio Becce and Patrick Omoumi and Maryam Shahabpour and Maciej Bień and Marco Zanetti and Robert Downey Boutin and Jan Fritz and Eva Llopis and Alberto Bazzocchi and P. Diana Afonso and Vasco V. Mascarenhas and Reto Sutter and Anne Cotten and Jean-Luc Drapé and Guillaume Bierry and Grzegorz Pracoń and Milko C. de Jonge and Danoob Dalili and Marc Mespreuve and Maciej Klich and Ladislav Nagy and Robert M. Szabo and Jörg G. Grünert and Emmanuel J. Camus and Gregory Ian Bain and Christophe L. Mathoulin and Florian Goehtz and Marc Garcia-Elias and Luc Van Overstraeten and Francisco del Piñal and Andrea Atzei and Riccardo Luchetti and Adrian Julian Chojnowski and Piotr Czarnecki and Fernando Corella and Michiro Yamamoto and Igor O. Golubev and Jörg van Schoonhoven and Luis Cerezal and Iwona Sudoł-Szopińska},
  journal = {European Radiology},
  year = {2026},
  month = jun,
  doi = {10.1007/s00330-026-12629-x},
  url = {https://doi.org/10.1007/s00330-026-12629-x},
  note = {CC BY 4.0},
}

TY  - JOUR
TI  - Interdisciplinary consensus statements on imaging of scaphoid fractures
AU  - Tobias Johannes Dietrich
AU  - James Teh
AU  - Rainer Schmitt
AU  - Alain Blum
AU  - Nina Hesse
AU  - Radhesh Krishna Lalam
AU  - Andoni Paul Toms
AU  - Fabio Becce
AU  - Patrick Omoumi
AU  - Maryam Shahabpour
AU  - Maciej Bień
AU  - Marco Zanetti
AU  - Robert Downey Boutin
AU  - Jan Fritz
AU  - Eva Llopis
AU  - Alberto Bazzocchi
AU  - P. Diana Afonso
AU  - Vasco V. Mascarenhas
AU  - Reto Sutter
AU  - Anne Cotten
AU  - Jean-Luc Drapé
AU  - Guillaume Bierry
AU  - Grzegorz Pracoń
AU  - Milko C. de Jonge
AU  - Danoob Dalili
AU  - Marc Mespreuve
AU  - Maciej Klich
AU  - Ladislav Nagy
AU  - Robert M. Szabo
AU  - Jörg G. Grünert
AU  - Emmanuel J. Camus
AU  - Gregory Ian Bain
AU  - Christophe L. Mathoulin
AU  - Florian Goehtz
AU  - Marc Garcia-Elias
AU  - Luc Van Overstraeten
AU  - Francisco del Piñal
AU  - Andrea Atzei
AU  - Riccardo Luchetti
AU  - Adrian Julian Chojnowski
AU  - Piotr Czarnecki
AU  - Fernando Corella
AU  - Michiro Yamamoto
AU  - Igor O. Golubev
AU  - Jörg van Schoonhoven
AU  - Luis Cerezal
AU  - Iwona Sudoł-Szopińska
PY  - 2026
DA  - 2026/06/11
JO  - European Radiology
DO  - 10.1007/s00330-026-12629-x
UR  - https://doi.org/10.1007/s00330-026-12629-x
AB  - Objectives: To establish evidence-based consensus statements on imaging of scaphoid fractures.  Materials and methods: Nineteen hand surgeons formulated a preliminary list of eleven questions on imaging of scaphoid fractures. Based on this preliminary list, radiologists crafted statements considering literature and their clinical experience, then refined them through an iterative Delphi process to revise the questions and statements. A maximum of three Delphi rounds was scheduled until group consensus was achieved for an individual statement, whichever arose first. Twenty-eight radiologists drafted the statements and acted as Delphi panellists. Panellists rated their level of agreement with each statement on an 11-point numeric rating scale, the score ‘0’ indicated complete disagreement and the score ‘10’ indicated complete agreement, respectively. Group consensus was specified as a score of ‘8’ or higher for ≥ 23/28 panellists.  Results: Eight of eleven questions and statements achieved group consensus in the first Delphi round. The remaining three questions and statements achieved group consensus in the second Delphi round, indicating more controversial topics. It was agreed that radiographs are the initial imaging technique of choice for suspected scaphoid fractures. MRI or CT are advocated for suspected radiographically occult scaphoid fractures. CT is the method of choice for assessment of osseous consolidation. Contrast-enhanced MRI is the preferred imaging modality for assessing vascularisation of scaphoid nonunion. CT is the most valuable technique in the postoperative evaluation of scaphoid fractures.  Conclusion: Delphi-based consensus statements suggest imaging pathways to diagnose scaphoid fractures, assess osseous fracture consolidation and evaluate pre- and postoperative fractures.  Key Points: Question How can an international and interdisciplinary team of hand surgeons and musculoskeletal radiologists develop practical consensus statements on imaging of scaphoid fractures?  Findings All eleven statements achieved group consensus among experts using the Delphi technique for consensus-building. Imaging pathways were suggested to diagnose and assess scaphoid fractures.  Clinical relevance statement International, interdisciplinary and evidence-based consensus statements on imaging of scaphoid fractures were achieved using the Delphi technique. The focus of the statements was to diagnose scaphoid fractures, assess osseous fracture consolidation and evaluate pre- and postoperative fractures.  Graphical Abstract:
SN  - 0938-7994
SN  - 1432-1084
ER  -