Wrist ligament injuries: value of post-arthrography computed tomography.

Details

Serval ID
serval:BIB_865BDFB85594
Type
Article: article from journal or magazin.
Collection
Publications
Title
Wrist ligament injuries: value of post-arthrography computed tomography.
Journal
Skeletal Radiology
Author(s)
Theumann N., Favarger N., Schnyder P., Meuli R.
ISSN
0364-2348
Publication state
Published
Issued date
02/2001
Peer-reviewed
Oui
Volume
30
Number
2
Pages
88-93
Language
english
Abstract
OBJECTIVE: To evaluate the use of post-arthrography high-resolution computed tomography in wrist ligament injuries. DESIGN AND PATIENTS: Thirty-six consecutive patients who had a history and clinical findings suggestive of ligamentous injuries of the wrist were prospectively studied. The findings of three-compartment arthrography and post-arthrography computed tomography (arthro-CT) were compared with those of arthroscopy. The evaluation concentrates on the detection and precise localization of ligament lesions in the triangular fibrocartilage (TFC), the scapholunate ligament (SLL) and the lunotriquetral ligament (LTL). RESULTS: For TFC, SLL and LTL lesions, standard arthrography responded with a sensitivity and specificity of 85% and 100%, 85% and 100%, 80% and 100% respectively, while arthro-CT showed a sensitivity and specificity of 85% and 100%, 100% and 100%, 80% and 100% respectively. The precise localization of the lesions was possible only with arthro-CT. CONCLUSION: The sensitivity and specificity of standard arthrography and arthro-CT are similar, although the latter shows the site of tears or perforation with greater precision, while conventional arthrography demonstrates them indirectly. This precision is essential and may have clinical implications for the success of treatment procedures.
Keywords
Adolescent, Adult, Arthroscopy, Female, Humans, Ligaments, Articular/injuries, Ligaments, Articular/pathology, Male, Middle Aged, Prospective Studies, Sensitivity and Specificity, Tomography, X-Ray Computed, Wrist Injuries/diagnosis, Wrist Injuries/radiography, Wrist Joint/pathology, Wrist Joint/radiography
Pubmed
Web of science
Create date
11/04/2008 12:01
Last modification date
20/08/2019 14:45
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