PhD Wouter Mallee
- Imaging of clinically suspected scaphoid fractures with normal radiographs: comparison of MRI, CT and Bone Scintigraphy. CT and MRI were compared in a prospective study. Additionally, a Cochrane Diagnostic Test Accuracy Review was performed. The prospective trial and review showed comparable results for all modalities. We advise to perform MRI or CT as soon as possible.
- Clinical evaluation of (suspected) scaphoid fractures in wrist trauma. First a systematic review and meta-analysis was conducted. Based on these data, a clinical prediction rule was developed and validated in a large prospective cohort (the Amsterdam Wrist/Scaphoid Rules). The rule can be used in the Emergency Department and results in less unnecessary cast immobilization, reduces the use of imaging without increasing the risk of a missed fracture.