Interdisciplinary consensus statements on imaging of scapholunate joint instability.

Details

Serval ID
serval:BIB_5A8C9B72F7F9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Interdisciplinary consensus statements on imaging of scapholunate joint instability.
Journal
European radiology
Author(s)
Dietrich T.J., Toms A.P., Cerezal L., Omoumi P., Boutin R.D., Fritz J., Schmitt R., Shahabpour M., Becce F., Cotten A., Blum A., Zanetti M., Llopis E., Bień M., Lalam R.K., Afonso P.D., Mascarenhas V.V., Sutter R., Teh J., Pracoń G., de Jonge M.C., Drapé J.L., Mespreuve M., Bazzocchi A., Bierry G., Dalili D., Garcia-Elias M., Atzei A., Bain G.I., Mathoulin C.L., Del Piñal F., Van Overstraeten L., Szabo R.M., Camus E.J., Luchetti R., Chojnowski A.J., Grünert J.G., Czarnecki P., Corella F., Nagy L., Yamamoto M., Golubev I.O., van Schoonhoven J., Goehtz F., Klich M., Sudoł-Szopińska I.
ISSN
1432-1084 (Electronic)
ISSN-L
0938-7994
Publication state
Published
Issued date
12/2021
Peer-reviewed
Oui
Volume
31
Number
12
Pages
9446-9458
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The purpose of this agreement was to establish evidence-based consensus statements on imaging of scapholunate joint (SLJ) instability by an expert group using the Delphi technique.
Nineteen hand surgeons developed a preliminary list of questions on SLJ instability. Radiologists created statements based on the literature and the authors' clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delphi panellists consisted of twenty-seven musculoskeletal radiologists. The panellists scored their degree of agreement to each statement on an eleven-item numeric scale. Scores of '0', '5' and '10' reflected complete disagreement, indeterminate agreement and complete agreement, respectively. Group consensus was defined as a score of '8' or higher for 80% or more of the panellists.
Ten of fifteen statements achieved group consensus in the second Delphi round. The remaining five statements achieved group consensus in the third Delphi round. It was agreed that dorsopalmar and lateral radiographs should be acquired as routine imaging work-up in patients with suspected SLJ instability. Radiographic stress views and dynamic fluoroscopy allow accurate diagnosis of dynamic SLJ instability. MR arthrography and CT arthrography are accurate for detecting scapholunate interosseous ligament tears and articular cartilage defects. Ultrasonography and MRI can delineate most extrinsic carpal ligaments, although validated scientific evidence on accurate differentiation between partially or completely torn or incompetent ligaments is not available.
Delphi-based agreements suggest that standardized radiographs, radiographic stress views, dynamic fluoroscopy, MR arthrography and CT arthrography are the most useful and accurate imaging techniques for the work-up of SLJ instability.
• Dorsopalmar and lateral wrist radiographs remain the basic imaging modality for routine imaging work-up in patients with suspected scapholunate joint instability. • Radiographic stress views and dynamic fluoroscopy of the wrist allow accurate diagnosis of dynamic scapholunate joint instability. • Wrist MR arthrography and CT arthrography are accurate for determination of scapholunate interosseous ligament tears and cartilage defects.
Keywords
Arthrography, Consensus, Humans, Joint Instability/diagnostic imaging, Ligaments, Articular/diagnostic imaging, Wrist Injuries/diagnostic imaging, Wrist Joint, Diagnostic imaging, Guidelines, Joint instability, Surveys and questionnaires, Wrist injuries
Pubmed
Web of science
Open Access
Yes
Create date
15/06/2021 15:48
Last modification date
23/02/2022 7:36
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