A comparison of magnetic resonance imaging and arthroscopy in the investigation of chronic wrist pain

被引:60
作者
Johnstone, DJ [1 ]
Thorogood, S [1 ]
Smith, WH [1 ]
Scott, TD [1 ]
机构
[1] Royal Cornwall Hosp, Dept Orthopaed Surg, Truro, Cornwall, England
关键词
D O I
10.1016/S0266-7681(97)80431-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Forty-three patients with chronic wrist pain have been investigated prospectively with magnetic resonance imaging and arthroscopy. Pathology within the wrist joint was detected in 30 cases with magnetic resonance imaging and 32 cases with arthroscopy. The sensitivity and specificity of magnetic resonance imaging compared with arthroscopy were 0.8 and 0.7 for triangular fibrocartilage complex pathology, 0.37 and 1.0 for scapholunate ligament and 0 and 0.97 for lunotriquetral ligament, It is concluded that magnetic resonance imaging is unhelpful in the investigation of suspected carpal instability, In analysis of the triangular fibrocartilage complex, the results of magnetic resonance imaging should be interpreted with caution.
引用
收藏
页码:714 / 718
页数:5
相关论文
共 22 条
[1]
ARTHROSCOPY FOR THE DIAGNOSIS OF POSTTRAUMATIC WRIST PAIN [J].
ADOLFSSON, L .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1992, 17B (01) :46-50
[2]
BROWN DE, 1984, ORTHOP CLIN N AM, V15, P183
[3]
MR EVALUATION OF TRIANGULAR FIBROCARTILAGE COMPLEX TEARS IN THE WRIST - COMPARISON WITH ARTHROGRAPHY AND ARTHROSCOPY [J].
CEROFOLINI, E ;
LUCHETTI, R ;
PEDERZINI, L ;
SORAGNI, O ;
COLOMBINI, R ;
DALIMONTE, P ;
ROMAGNOLI, R .
JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1990, 14 (06) :963-967
[4]
EVALUATION OF CHRONIC WRIST PAIN BY ARTHROGRAPHY, ARTHROSCOPY, AND ARTHROTOMY [J].
COONEY, WP .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1993, 18A (05) :815-822
[5]
The role of dynamic magnetic resonance imaging in the detection of lesions of the ulnocarpal complex [J].
Gabl, M ;
Lener, M ;
Pechlaner, S ;
Judmaier, W .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1996, 21B (03) :311-314
[6]
TEARS OF THE TRIANGULAR FIBROCARTILAGE OF THE WRIST - MR IMAGING [J].
GOLIMBU, CN ;
FIROOZNIA, H ;
MELONE, CP ;
RAFII, M ;
WEINREB, J ;
LEBER, C .
RADIOLOGY, 1989, 173 (03) :731-733
[7]
GUNDRY CR, 1989, AM J RADIOL, V154, P337
[8]
ARTHROSCOPY OF THE WRIST [J].
KELLY, EP ;
STANLEY, JK .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1990, 15B (02) :236-242
[9]
KOMAN L A, 1990, Arthroscopy, V6, P116
[10]
AGE-ASSOCIATED CHANGES OF THE TRIANGULAR FIBROCARTILAGE OF THE WRIST - EVALUATION OF THE DIAGNOSTIC PERFORMANCE OF MR IMAGING [J].
METZ, VM ;
SCHRATTER, M ;
DOCK, WI ;
GRABENWOGER, F ;
KUZBARI, R ;
LANG, S ;
WANIVENHAUS, AH ;
PUIGG, S ;
IMHOF, H .
RADIOLOGY, 1992, 184 (01) :217-220