Extensor carpi ulnaris (ECU) subsheath: Normal MRI appearance and findings in athletic injuries : 40

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ID Serval
serval:BIB_08CD7DCE5D91
Type
Actes de conférence (partie): contribution originale à la littérature scientifique, publiée à l'occasion de conférences scientifiques, dans un ouvrage de compte-rendu (proceedings), ou dans l'édition spéciale d'un journal reconnu (conference proceedings).
Sous-type
Poster: résume de manière illustrée et sur une page unique les résultats d'un projet de recherche. Les résumés de poster doivent être entrés sous "Abstract" et non "Poster".
Collection
Publications
Institution
Titre
Extensor carpi ulnaris (ECU) subsheath: Normal MRI appearance and findings in athletic injuries : 40
Titre de la conférence
Swiss Radiological Congress 2010, Schweizerische Gesellschaft für Radiologie, Schweizerische Gesellschaft für Nuklearmedizin, Schweizerische Vereinigung der Fachleute für medizinisch technische Radiologie
Auteur⸱e⸱s
Becce F., Jeantroux J., Theumann N., Guerini H., Montalvan B., Le Viet D., Drapé J.L.
Adresse
Lugano, Switzerland, June 3-5, 2010
ISBN
1424-4985
Statut éditorial
Publié
Date de publication
2010
Volume
10
Série
Swiss Medical Forum = Forum Médical Suisse
Pages
23
Langue
anglais
Résumé
Purpose: First, to report ECU subsheath's normal MRI appearance
and the findings in athletic injuries. Second, to determine the best MRI
sequence for diagnosis.
Methods and materials: Sixteen patients (13 males, 3 females, mean
age 30.3 years) with ECU subsheath's athletic injuries sustained
between January 2003 and June 2009 were retrospectively reviewed.
Wrist MRI studies were performed on 1.5-T units and consisted of at
least transverse T1 and STIR sequences in pronation, and FS Gd T1
in pronation and supination. Two radiologists assessed the following
items, in consensus: injury type (A to C according to Inoue), ECU
tendon stability, and associated lesions (ulnar head oedema, extensor
retinaculum injury, ECU tendinosis and tenosynovitis). Then, each
reader independently rated the sequences' diagnostic value:
0 = questionable, 1 = suggestive, 2 = certain. Follow-up studies were
present in 8 patients. ECU subsheath's normal visibility (medial, central
and lateral parts) was retrospectively evaluated in 30 consecutive
control MRI studies.
Results: FS Gd T1 sequences in supination (1.63) and pronation (1.59)
were the most valuable for diagnosis, compared to STIR (1.22) and T1
(1). The study group included 9 type A, 1 type B and 6 type C injuries.
There were trends towards diminution in pouches' size, signal intensity
and enhancement in follow-up studies, along with tendon stabilization
within the ulnar groove. In control studies, ECU subsheath's visibility in
medial, central and lateral parts were noted in 66.7-80%, 63.3-80%
and 30-50% respectively.
Conclusion: ECU subsheath's athletic injuries are visible on 1.5-T MRI
studies. FS Gd T1 sequences in supination and pronation are the most
valuable.
Création de la notice
29/06/2010 16:05
Dernière modification de la notice
20/08/2019 13:31
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