Anatomical study of the pisotriquetral joint ligaments using ultrasonography

Moraux, Antoine; Vandenbussche, L.; Demondion, Xavier; Gheno, Ramon; Pansini, Vittorio; Cotten, Anne

doi:10.1007/s00256-011-1188-1

Cited by 10 publications

(9 citation statements)

References 38 publications

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“…Pisotriquetral joint disorders encountered in the athlete include joint instability and osteoarthritis. Seven separate structures insert on the pisiform: the flexor carpi ulnaris tendon, the flexor retinaculum, the pisohamate ligament, the abductor digiti minimi muscle, the pisometacarpal ligaments, the extensor retinaculum, and the meniscus homolog (49). Disruption of any one of these structures can lead to pisotriquetral joint instability.…”

Section: State Of the Art: Sports-related Hand And Wrist Injuriesmentioning

confidence: 98%

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Cockenpot¹,

Lefebvre²,

Demondion³

et al. 2016

Radiology

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Hand and wrist injuries are common occurrences in amateur and professional sports and many of them are sport-specific. These can be divided into two categories: traumatic injuries and overuse injuries. The aim of this article is to review the most common hand and wrist sports-related lesions. Acute wrist injuries are predominantly bone fractures, such as those of the scaphoid, hamate hook, and ulnar styloid. Ligament lesions are more challenging for radiologists and may lead to carpal instability if undiagnosed. Overuse wrist injuries are mainly represented by tendinous disorders, with De Quervain syndrome and extensor carpi ulnaris tendon disorders being the most common among them; however, there are other possible disorders such as impaction syndromes, stress fractures, and neurovascular lesions. Finally, finger lesions, including closed-tendon injuries (mallet and boutonniere injuries, jersey finger, and boxer's knuckle), flexor pulley injuries, and skier's thumb, should also be detected. (©) RSNA, 2016 Online supplemental material is available for this article.

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Section: State Of the Art: Sports-related Hand And Wrist Injuriesmentioning

confidence: 98%

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Cockenpot¹,

Lefebvre²,

Demondion³

et al. 2016

Radiology

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“…It is possible to clearly image these ligaments using ultrasonography. 10 Maltracking of the joint leads to dysfunction and ultimately results in osteoarthritis of the pisotriquetral joint. The principal cause of osteoarthritis of the pisotriquetral joint is secondary degeneration following trauma.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Clinical Results After Pisiformectomy in Patients With Rheumatic Versus Posttraumatic Osteoarthritis

Lautenbach¹,

Eisenschenk²,

Langner³

et al. 2013

Orthopedics

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Pisotriquetral osteoarthritis is important to consider in the differential diagnosis of chronic ulnar-sided wrist pain. It can develop following traumatic injury to the pisiform or in rheumatic diseases, such as rheumatoid arthritis or psoriatic arthritis. It has been shown that pisiformectomy can relieve symptoms in cases that have not responded to nonoperative treatment, and the excision does not compromise the function or strength of the wrist. Most studies focus on posttraumatic causes of pisotriquetral osteoarthritis. In the current study, rheumatic causes are also considered and the outcomes are compared. This retrospective study included 35 patients who underwent pisiformectomy for pisotriquetral osteoarthritis. All patients underwent a thorough diagnostic evaluation to exclude other etiologies for ulnar-sided wrist pain. Radiological examinations including posteroanterior and lateral views of the wrist and a tangential view of the pisotriquetral joint were analyzed. All patients had excellent or very good results after pisiformectomy, with a significant reduction in pain. No significant difference was found in the outcomes for patients with rheumatic vs posttraumatic osteoarthritis. Patients with rheumatic causes of pisotriquetral osteoarthritis can be successfully treated with pisiformectomy. With respect to idiopathic causes, these patients need a longer postoperative period to gain full pain relief. It is important to consider the possibility of pisotriquetral osteoarthritis after excluding other diagnoses in patients with rheumatic osteoarthritis.

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“…The application of ultrasound to quantify ligament strain is limited to a few studies investigating superficial ligaments during static movements, such as the dorsal lisfranc ligament, 56 , 110 , 145 pisohamate ligament and pisometacarpal ligament. 119 Using speckle-tracking, 5-7% strains were observed in the coracoacromial ligament during dynamic shoulder rotations such as forward flexion, horizontal abduction, and internal rotation at 90° abduction. 134 The strain patterns and displacements of the coracoacromial ligament indicated contact with the rotator cuff in these frequently used shoulder movements.…”

Section: Ultrasoundmentioning

confidence: 99%

“…Furthermore, in traditional ultrasound images, the ligament appears hypoechoic at rest because of anisotropy artefacts and hyperechoic under loading due to tightening of the ligament microstructure. 30 , 119 This change in appearance between loading conditions can help differentiate the ligament from other tissues but causes difficulties when trying to quantify ligament strain patterns throughout an entire movement. Confounded by out-of-plane motion: The complexity of measuring the deformation of 3D soft tissues in planar 2D ultrasound images is another key limitation of ultrasound.…”

Section: Ultrasoundmentioning

confidence: 99%

Techniques for In Vivo Measurement of Ligament and Tendon Strain: A Review

et al. 2020

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The critical clinical and scientific insights achieved through knowledge of in vivo musculoskeletal soft tissue strains has motivated the development of relevant measurement techniques. This review provides a comprehensive summary of the key findings, limitations, and clinical impacts of these techniques to quantify musculoskeletal soft tissue strains during dynamic movements. Current technologies generally leverage three techniques to quantify in vivo strain patterns, including implantable strain sensors, virtual fibre elongation, and ultrasound. (1) Implantable strain sensors enable direct measurements of tissue strains with high accuracy and minimal artefact, but are highly invasive and current designs are not clinically viable. (2) The virtual fibre elongation method tracks the relative displacement of tissue attachments to measure strains in both deep and superficial tissues. However, the associated imaging techniques often require exposure to radiation, limit the activities that can be performed, and only quantify bone-to-bone tissue strains. (3) Ultrasound methods enable safe and non-invasive imaging of soft tissue deformation. However, ultrasound can only image superficial tissues, and measurements are confounded by out-of-plane tissue motion. Finally, all in vivo strain measurement methods are limited in their ability to establish the slack length of musculoskeletal soft tissue structures. Despite the many challenges and limitations of these measurement techniques, knowledge of in vivo soft tissue strain has led to improved clinical treatments for many musculoskeletal pathologies including anterior cruciate ligament reconstruction, Achilles tendon repair, and total knee replacement. This review provides a comprehensive understanding of these measurement techniques and identifies the key features of in vivo strain measurement that can facilitate innovative personalized sports medicine treatment.

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Anatomical study of the pisotriquetral joint ligaments using ultrasonography

Abstract: The three ligaments stabilizing the pisotriquetral joint can be identified using ultrasonography. Further studies are now required to know whether this knowledge may be useful in the assessment of pain involving the ulnar part of the wrist.

Cited by 10 publications

References 38 publications

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Imaging of Sports-related Hand and Wrist Injuries: Sports Imaging Series

Comparison of Clinical Results After Pisiformectomy in Patients With Rheumatic Versus Posttraumatic Osteoarthritis

Techniques for In Vivo Measurement of Ligament and Tendon Strain: A Review

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