EVALUATION OF THE TRIANGULAR FIBROCARTILAGE COMPLEX TEARS BY ARTHROSCOPY, ARTHROGRAPHY, AND MAGNETIC-RESONANCE-IMAGING

被引：82

作者：

PEDERZINI, L

LUCHETTI, R

SORAGNI, O

ALFARANO, M

MONTAGNA, G

CEROFOLINI, E

COLOMBINI, R

ROTH, J

机构：

[1] Department of Orthopaedics, State Hospital

[2] Radiology and Ultrasonography Service, State Hospital

[3] Radiodiagnostic Service, University of Modena, Modena

[4] Department of Orthopaedics, University of Western Ontario, London, Ont.

来源：

ARTHROSCOPY | 1992年 / 8卷 / 02期

关键词：

WRIST; MAGNETIC RESONANCE IMAGING; ARTHROGRAPHY; CHRONIC PAINFUL WRIST; TFCC LESION; CHONDROMALACIA OF WRIST;

D O I：

10.1016/0749-8063(92)90036-B

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：

Arthroscopic findings in 11 patients with chronic ulnar painful wrist were compared both with arthrographic and magnetic resonance (MR) imaging results to evaluate the accuracy of the former procedure in the detection of triangular fibrocartilage complex (TFCC) lesions. MR imaging and arthrography investigations appeared to be sensitive modalities when compared with arthroscopic findings in TFCC lesions (specificity 100%; sensitivity 82 and 80%). MR imaging can be advantageously employed in the screening of patients suspected of having a TFCC tear, eliminating the necessity of an arthrographic examination. However, MR imaging could not define the exact site of the tear within the degenerate TFCC or detect lesions of the articular cartilage. Arthroscopy offers sure evidence of the site of TFCC lesion and more information about the intraarticular associated causes of chronic ulnar wrist pain such as chondromalacia and synovitis. An added benefit is that many of the pathologies seen can be treated using arthroscopic surgical techniques.

引用

页码：191 / 197

页数：7

共 33 条

[1]

Edwards, Jupiter, Radial head fractures with acute distal radioulnar dislocation Essex-Lopresti revisited, Clin Orthop Relat Res, 234, pp. 61-69, (1988)

[2]

Essex-Lopresti, Fractures of the radial head with distal radio-ulnar dislocation, J Bone Joint Surg [Br], 33, pp. 244-247, (1951)

[3]

Palmer, Triangular fibrocartilage complex lesions: a classification, J Hand Surg [Am], 14, pp. 594-606, (1989)

[4]

Taleisnik, Pain on the ulnar side of the wrist, Hand Clin, 3, pp. 51-68, (1987)

[5]

Brown, Lichtman, Physical examination of the wrist, The wrist and its disorders, pp. 74-81, (1988)

[6]

Destouet, Gilula, Reinus, Roentgenographic diagnosis of wrist pain and instability, The wrist and its disorders, pp. 82-95, (1988)

[7]

Palmer, Glisson, Werner, Relationship between ulnar variance and triangular fibrocartilage complex thickness, J Hand Surg [Am], 9, pp. 681-683, (1984)

[8]

Gilula, Totty, Weeks, Wrist arthrography. The value of fluoroscopy spot viewing, Radiology, 146, pp. 555-557, (1983)

[9]

Ganel, Engel, Ditzian, Farin, Militeanu, Arthrography as a method of diagnosing soft-tissue injuries of the wrist, J Trauma, 19, pp. 376-380, (1979)

[10]

Levinsohn, Palmer, Arthrography of the traumatized wrist, Radiology, 146, pp. 647-651, (1983)

← 1 2 3 4 →