Author:
Mahmood Aatif,Fountain James,Vasireddy Naveen,Waseem Mohammed
Abstract
The aim of the study was to compare the radiological findings of wrist arthrogram with wrist arthroscopy. This allowed us to establish the accuracy (sensitivity, specificity) of MRI arthrogram as a diagnostic tool. Thirty patients (20 female and 10 male) have undergone both wrist MRI arthrogram and wrist arthroscopy over the last 3 years at a District General Hospital. The mean age at arthrogram was 42.4 years with an average 6.7 month interval between the two procedures.
The MRI arthrogram was reported by a consultant radiologist with an interest in musculoskeletal imaging and the arthroscopies performed by two upper limb surgeons. Patients who underwent both procedures were identified. The arthrogram reports and operation notes were examined for correlation. Three main areas of pathology were consistently examined: TFCC (triangular fibrocartilage complex), scapholunate and lunotriquetral ligament tears. The sensitivity and specificity of arthrogram was calculated for each. Other areas of pathology were also noted.
In the case of TFCC tears MRI arthrogram had 90% sensitivity and 75% specificity. The lunotriquetral ligament examination with this technique was 100% sensitivity and specificity. However for scapholunate ligament tears it only had 91% sensitivity and 88% specificity.
Wrist arthrogram and arthroscopy are both invasive techniques. In cost terms the arthrogram remains cheaper but is superseded by arthroscopy as it is both diagnostic and therapeutic.
Publisher
Bentham Science Publishers Ltd.
Reference28 articles.
1. Cooney WP.
Evaluation of chronic wrist pain by arthrography,
arthroscopy, and arthrotomy
J Hand Surg Am
1993;
18
(5)
: 815-22.
2. Roth JH, Haddad RG.
Radiocarpal arthroscopy and arthrography in
the diagnosis of ulnar wrist pain
Arthroscopy
1986;
2
(4)
: 234-43.
3. Bora Jr F, Osterman A, Maitin E, Bednar J.
The role of arthroscopy
in the treatment of disorders of the wrist
Contemp Orthop
1986;
12
(4)
: 28-36.
4. Joshy S, Ghosh S, Lee K, Deshmukh SC.
Accuracy of direct
magnetic resonance arthrography in the diagnosis of triangular
fibrocartilage complex tears of the wrist
Int Orthop
2008;
32
(2)
: 251-3.
5. Weiss AP, Akelman E, Lambiase R.
Comparison of the findings of
triple-injection cinearthrography of the wrist with those of
arthroscopy
J Bone Joint Surg Am
1996;
78
(3)
: 348-56.
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