Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update

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 examinations^a	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)CT^c	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

ISSN: 1471-2474