ESTABLISHMENT OF CARPAL CONTENTS CANAL RATIO BY MEANS OF MAGNETIC-RESONANCE-IMAGING

被引:26
作者
COBB, TK [1 ]
DALLEY, BK [1 ]
POSTERARO, RH [1 ]
LEWIS, RC [1 ]
机构
[1] TEXAS TECH UNIV,HLTH SCI CTR,DEPT RADIOL,LUBBOCK,TX 79430
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 1992年 / 17A卷 / 05期
关键词
D O I
10.1016/0363-5023(92)90454-W
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
Magnetic resonance imaging (MRI) was used to determine cross-sectional areas and volumes of carpal canals and carpal canal contents in five cadaver specimens in an assessment of the reliability of MRI for establishing contents/canal ratios. Volumes of the carpal canals and their contents were accurately calculated from MRI with a previously described correction factor (0.8161) for carpal tunnel volumes and a calculated correction factor (1.078) for carpal tunnel contents volume. There was no significant difference between laboratory-measured or MRI-calculated ratios from either volumes (p = 0.86) or surface areas (p > 0.79). Cross-sectional area contents/canal ratios were significantly higher (p = 0.0001) at the level of the distal aspect of the hook of the hamate (0.54) as compared with those at the level of the distal radial styloid (0.42) and proximal metacarpals (0.44). MRI provides an effective and reliable means of determining contents/canal ratios from both cross-sectional area and volume calculations.
引用
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页码:843 / 849
页数:7
相关论文
共 9 条
[1]  
Dekel, Papaioannou, Rushworth, Et al., Idiopathic carpal tunnel syndrome caused by carpal stenosis, BMJ, pp. 1297-1299, (1980)
[2]  
Merhar, Clark, Schneider, High-resolution CT scans of the wrist in patients with carpal tunnel syndrome, Radiology, 157, (1985)
[3]  
Bleecker, Medical surveillance for carpal tunnel syndrome in workers, J Hand Surg, 12 A, pp. 845-848, (1987)
[4]  
Richman, Gelberman, Rydevik, Carpal tunnel volume determination by magnetic resonance imaging three-dimensional reconstruction, J Hand Surg, 12 A, pp. 712-717, (1987)
[5]  
Luchetti, Schoenhuber, De Cicco, Et al., Carpal-tunnel pressure, Acta Orthop Scand, 60, pp. 397-399, (1989)
[6]  
Robbins, Anatomical study of the median nerve in the carpal tunnel and etiologies of the carpal-tunnel syndrome, J Bone Joint Surg, 45 A, pp. 953-966, (1963)
[7]  
Phalen, The carpal-tunnel syndrome, J Bone Joint Surg, 48 A, pp. 211-228, (1966)
[8]  
Phalen, The carpal-tunnel syndrome, Clin Orthop, 83, pp. 29-40, (1972)
[9]  
Middleton, Kneeland, Kellman, Et al., MR imaging of the carpal tunnel: normal anatomy and preliminary findings in the carpal tunnel syndrome, AJR, 148, pp. 307-316, (1987)