Siddhartha Murhekar
Educational Fellow at East Kent Hospitals NHS Foundation Trust, United KingdomPresentation Title:
Effectiveness of virtual clinic in managing suspected scaphoid fractures: Retrospective study at a busy secondary hospital
Abstract
Background:
Virtual clinic has been in use to manage patient out of the hospital setting, decreasing footfall in hospital, avoiding the need of unnecessary travel and helping in decrease carbon footprint. Similar clinic has been running to manage patients presenting to the orthopaedic department with the presentation of suspected scaphoid fracture. As missed scaphoid fractures potentially lead to non-union and complications arising due to it, this study was thought of to see how effective the virtual clinics are in managing suspected scaphoid fractures.
Objectives:
To assess number of suspected scaphoid presentations, and their management. Delay in diagnosis and potential presentation with non-union or SLAC wrist.
Study Design & Methods:
Retrospective data collection for a year of patients presenting to the orthopaedic unit at a busy secondary hospital. Outcome of their presentation, associated complications.
Results:
242 patients with suspected scaphoid fractures visited the virtual clinic during Jan-Dec 2021. 30% required second imaging, with 7% undergoing MRI and 5% CT scans. Nearly 46.1% were discharged with no further imaging. Out of the suspected cases, 16% were confirmed as scaphoid fractures with 3 undergoing primary fixations. Patients who underwent second imaging had other associated injuries, including 6(21%) distal radius fractures and 8(29%) with other findings such as capitate fracture, trapezium fracture, triquetral, and ligamentous injuries. The average duration between the first and second imaging was 21 days which reduced to 12 days with introduction of pathway.
Conclusions:
This study highlights the effective use of virtual clinic in managing scaphoid fractures presenting to a secondary unit.
Biography
Siddhartha Murhekar is working as Education Fellow ST3 in East Kent Hospitals University Hospitals NHS Foundation Trust. He completed his MBBS from India and MRCS from Royal College of Surgeons, England. He teaches medical students and healthcare professionals and works in an elective orthopedic center. He wishes to pursue specialty training in Trauma and Orthopaedics in the UK and is heavily involved in research projects.
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