Age-associated changes of the triangular fibrocartilage of the wrist: evaluation of the diagnostic performance of MR imaging.

Metz, V.; Schratter, M; Dock, W; F, Grabenwöger; Kuzbari, Rafic; Lang, Susanna; Wanivenhaus, A.; Puigg, S; Imhof, Herwig

doi:10.1148/radiology.184.1.1609083

Cited by 52 publications

(24 citation statements)

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“…In 1 study, patchy or linear highintensity signal areas were found in 70% of 30 asymptomatic subjects. 11 In a larger series of 70 volunteers, the scans were interpreted as abnormal in 50% of the subjects, and a communicating defect in the TFCC was found in 25%. 12 Neither of these studies reported on interobserver reliability because a single observer analyzed images.…”

mentioning

confidence: 95%

Prevalence of Triangular Fibrocartilage Complex Abnormalities on MRI Scans of Asymptomatic Wrists

Iordache

Rowan

Garvin

et al. 2012

The Journal of Hand Surgery

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mentioning

confidence: 95%

Prevalence of Triangular Fibrocartilage Complex Abnormalities on MRI Scans of Asymptomatic Wrists

Iordache

Rowan

Garvin

et al. 2012

The Journal of Hand Surgery

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“…Moreover, triangular fibrocartilage complex abnormalities seem increasingly common with age [10,11,16,25]. Signal abnormalities on MRI and pathophysiology identified on wrist arthroscopy tend to be interpreted as ''tears'', but as with lower back pain, wrist pain is common and often difficult to relate to a specific pathophysiology.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Triangular Fibrocartilage Complex Abnormalities Regardless of Symptoms Rise With Age: Systematic Review and Pooled Analysis

Chan

Teunis

Ring

2014

Clin Orthop Relat Res

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Background Triangular fibrocartilage complex abnormalities seem to be more common with age, but the degree to which this is so, and the degree to which the presence of an abnormality is associated with symptoms, are topics of controversy. Questions/purposes We wished to perform a systematic review to determine the prevalence of triangular fibrocartilage complex abnormalities, and to determine if the prevalence of abnormalities are greater with increasing age. In addition, we stratified age groups based on symptoms. Methods We searched MEDLINE, EMBASE, and the Cochrane Library through August 15, 2013. Studies that reported triangular fibrocartilage complex abnormalities by age were included. Fifteen studies including 977 wrists met our criteria and reported a total of 368 (38%) triangular fibrocartilage complex abnormalities. Eight studies included symptomatic patients; the remainder studied cadavers (six studies) or asymptomatic volunteers (one study). Patients were divided into four age groups (\30, 30-49, 50-69, and 70 years and older) for pooled analysis, comparing the proportions of patients with and without abnormalities between groups using chi-square analysis. We also evaluated the proportions after stratifying each age group by symptoms. Results Overall, the prevalence of triangular fibrocartilage complex abnormalities increased with age, from 27% (80/301) in patients younger than 30 years to 49% (130/ 265) in patients 70 years and older (p \ 0.001), odds ratio (OR), 2.7, 95% CI, 1.9-3.8 (p \ 0.001). In asymptomatic patients, triangular fibrocartilage complex prevalence abnormality increased from 15% (24/159) to 49% (129/ 263) in the same age groups (p \ 0.001), OR, 5.4, 95% CI, 3.3-8.9 (p \ 0.001). For symptomatic patients prevalence ranged from 39% (56/142) to 70% (14/20) in patients between 50 and 69 years old (p\0.034), OR, 3.6, 95% CI, 1.3-9.9 (p \ 0.014). Conclusion Triangular fibrocartilage complex abnormalities are common in symptomatic and asymptomatic wrists, and they are increasingly common with age. As in all situations where abnormalities are so common that they may be incidental, we need (1) a reliable and accurate method for determining whether these abnormalities are the cause of symptoms; and (2) evidence that treatment of these abnormalities improves symptoms better than placebo.

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“…In recent studies, with high-resolution conventional MR, diagnostic accuracy has been reported to be as high as 95 % for TFCC lesions [5,12]. Although conventional MR imaging is capable enough in the assessment of the TFCC, in patients with either a torn SL or LT ligament, MR arthrography and cine-MR arthrography can delineate the TFCC abnormality and may raise the diagnostic accuracy in the detection of the TFCC tears.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic value of MR arthrography in detection of intrinsic carpal ligament lesions: use of cine-MR arthrography as a new approach

et al. 1997

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Twenty-five patients with chronic wrist pain and a preliminary diagnosis of carpal instability were examined with conventional MR imaging and MR arthrography with single compartment intra-articular injection. A new cine-MR arthrography technique, with image acquisition at every 5 s during intra-articular injection, was performed in 17 subjects. The purpose of this study was to determine the diagnostic value of MR arthrography in ligamentous lesions of the wrist and to assess the value of cine-MR arthrography in comparison with arthroscopy and/or surgery. Magnetic resonance arthrography, a semi-invasive technique, increased the diagnostic accuracy of intrinsic carpal ligament injuries. Cine-MR arthrography can be considered as a promising technique especially for the evaluation of lunatotriquetral and scapholunate ligament injuries of the wrist.

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Age-associated changes of the triangular fibrocartilage of the wrist: evaluation of the diagnostic performance of MR imaging.

Cited by 52 publications

References 0 publications

Prevalence of Triangular Fibrocartilage Complex Abnormalities on MRI Scans of Asymptomatic Wrists

Prevalence of Triangular Fibrocartilage Complex Abnormalities on MRI Scans of Asymptomatic Wrists

Prevalence of Triangular Fibrocartilage Complex Abnormalities Regardless of Symptoms Rise With Age: Systematic Review and Pooled Analysis

Diagnostic value of MR arthrography in detection of intrinsic carpal ligament lesions: use of cine-MR arthrography as a new approach

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