EVALUATION OF CHRONIC WRIST PAIN BY ARTHROGRAPHY, ARTHROSCOPY, AND ARTHROTOMY

被引：97

作者：

COONEY, WP

机构：

[1] Department of Orthopedic Surgery, Mayo Clinic, Mayo Foundation, Rochester, MN

来源：

JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1993年 / 18A卷 / 05期

关键词：

D O I：

10.1016/0363-5023(93)90047-7

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：

Arthrography and arthroscopy of the wrist were compared as diagnostic tools in the evaluation of chronic wrist pain. Arthroscopy proved to be a more sensitive procedure than arthrography in 20 consecutive patients with confirmed wrist injuries. There was 86% correlation (the exception-one false negative arthroscopic procedure) between arthroscopy and arthrography in eight patients with triangular fibrocartilage tears. Compared with arthroscopy, there were five false negative and five false positive arthrograms when evaluating interosseous scapholunate and lunotriquetral ligament tears. Arthroscopy more readily identified the location and extent of triangular fibrocartilage and the significance of interosseous ligament tears. Wrist arthrotomy confirmed the findings of wrist arthrography and arthroscopy and demonstrated that arthrography is not as accurate in localizing specific wrist injuries. Furthermore, wrist arthroscopy is a more valuable technique in determining the location, size, and extent of ligament injuries within the wrist.

引用

页码：815 / 822

页数：8

共 24 条

[1]

Kessler, Silberman, An experimental study of the radiocarpal joint by arthrography, Surg Gynecol Obstet, 112, pp. 33-40, (1961)

[2]

Ranawat, Harrison, Jordan, Arthrography of the wrist joint, Clin Orthop, 83, pp. 6-12, (1972)

[3]

Belsole, Radiography of the wrist, Clin Orthop, 202, pp. 50-56, (1986)

[4]

Palmer, Levinsohn, Kuzma, Arthrography of the wrist, J Hand Surg, 8, pp. 15-23, (1983)

[5]

Gilula, Totty, Weeks, Wrist arthrography: the value of fluoroscopic spot viewing, Radiology, 146, pp. 555-556, (1983)

[6]

Berquist, Imaging of orthopedic trauma and surgery, (1986)

[7]

Tirman, Weber, Snyder, Koonce, Midcarpal wrist arthrography for detection of tears of the scapholunate and lunotriquetral ligaments, AJR, 144, pp. 107-108, (1985)

[8]

Reinus, Hardy, Totty, Gilula, Arthrographic evaluation of the carpal triangular fibrocartilage complex, J Hand Surg, 12 A, pp. 495-503, (1987)

[9]

Bora, Osterman, Maitin, Bednar, The role of arthroscopy in the treatment of disorders of the wrist, Contemp Orthop, 12, pp. 28-36, (1986)

[10]

North, Thomas, An anatomic guide for arthroscopic visualization of the wrist capsular ligaments, J Hand Surg, 13 A, pp. 815-822, (1988)

← 1 2 3 →