SCAPHOID FRACTURES AND KIENBOCKS DISEASE OF THE LUNATE - MR IMAGING WITH HISTOPATHOLOGIC CORRELATION

被引：46

作者：

DESSER, TS ^{[1
]}

MCCARTHY, S ^{[1
]}

TRUMBLE, T ^{[1
]}

机构：

[1] YALE UNIV,SCH MED,DEPT DIAGNOST RADIOL,333 CEDAR ST,NEW HAVEN,CT 06510

来源：

MAGNETIC RESONANCE IMAGING | 1990年 / 8卷 / 04期

关键词：

Wrist; abnormalities; MR studies; trauma;

D O I：

10.1016/0730-725X(90)90042-Z

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Thirteen patients with scaphoid fractures and four patients with Kienbock's disease of the lunate underwent magnetic resonance imaging (MRI) prior to surgery. A total of 28 specimens had MR-histologic correlation. Biopsy specimens obtained by curettage provided pathologic correlation. MRI proved accurate in prospective evaluation of bone viability for both scaphoid fractures and Kienbock's disease. Normal marrow signal was shown to correlate with the presence of osteoid and osteocytes on light microscopy and a surface layer of fluorescence reflecting tetracycline uptake in viable bone. Decreased marrow signal corresponded to non-viable trabeculae with scant osteoid, without osteocytes and no tetracycline labeling. By virtue of its accurate identification of avascular necrosis, MRI may prove valuable in predicting prognosis for patients with scaphoid fractures and Kienbock's disease of the lunate. © 1990.

引用

页码：357 / 361

页数：5

共 26 条

[1]

Lang, Jergesen, Moseley, Block, Chafetz, Genant, Avascular necrosis of the femoral head: High-field-strength MR imaging with histologic correlation, Radiology, 169, pp. 517-524, (1988)

[2]

Coleman, Kressel, Dalinka, Scheibler, Burk, Cohen, Radiographically negative avascular necrosis: Detection with MR imaging, Radiology, 168, pp. 525-528, (1988)

[3]

Genez, Wilson, Houk, Weiland, Unger, Shields, Rugh, Early osteonecrosis of the femoral head: Detection in high-risk patients with MR imaging, Radiology, 168, pp. 521-524, (1988)

[4]

Beltran, Herman, Burk, Zuelzer, Clark, Lucas, Weiss, Yang, Femoral head avascular necrosis: MR Imaging with clinical-pathologic and radionuclide correlation, Radiology, 166, pp. 215-220, (1988)

[5]

Glickstein, Burk, Schiebler, Cohen, Dalinka, Steinberg, Kressel, Avascular necrosis versus other diseases of the hip: Sensitivity of MR imaging, Radiology, 169, pp. 213-215, (1988)

[6]

Shuman, Castagno, Baron, Richardson, MR imaging of avascular necrosis of the femoral head: Value of small-field-of-view sagittal surface-coil images, AJR, 150, pp. 1073-1078, (1988)

[7]

Rush, Bramson, Ogden, Legg-Calve-Perthes disease: Detection of cartilaginous and synovial changes with MR imaging, Radiology, 167, pp. 473-476, (1988)

[8]

Mitchell, Rao, Dalinka, Spritzer, Alavi, Steinberg, Fallon, Kressel, Femoral head avascular necrosis: Correlation of MR imaging, radiographic staging, radionuclide imaging and clinical findings, Radiology, 162, pp. 709-715, (1987)

[9]

Haller, Sartoris, Resnick, Pathria, Berthoty, Howard, Nordstrom, Spontaneous osteonecrosis of the tarsal navicular in adults: Imaging findings, AJR, 151, pp. 355-358, (1988)

[10]

Gelberman, Menon, The vascularity of the scaphoid bone, J. Hand Surg., pp. 508-513, (1980)

← 1 2 3 →