Assessment of Articular Cartilage Disorders After Distal Radius Fracture Using Biochemical and Morphological Nonenhanced Magnetic Resonance Imaging

Tarabin, Nahla; Gehrmann, Sebastian; Mori, V. De; Oezel, Lisa; Wollschläger, L; Rommelfanger, Golnessa; Frenken, Miriam; Abrar, D; Schleich, Christoph

doi:10.1016/j.jhsa.2020.02.009

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…Unstable fractures can delay the healing process and affect the treatment of distal radius fractures. Secondly, ulnar styloid fractures can damage the related vascular supply, resulting in a disturbance of blood circulation at the fracture site of the distal radius [9] . Adequate blood supply is particularly important for fracture healing, thus impaired vascular supply will impact the effect of postoperative fracture treatment.…”

Section: Discussionmentioning

confidence: 99%

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Wang

2023

BAS

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Objective: To analyze the effect of ulnar styloid process fracture types on the treatment of distal radius fracture. Methods: A total of 49 patients with distal radius fractures admitted to the hospital between December 1, 2018 and November 30, 2022 were selected. Among the patients, 26 of them were complicated with type I ulnar styloid fracture (the first group), and 23 patients were complicated with type II ulnar styloid fracture (the second group), and were treated with open reduction and internal fixation using Kirschner wire and tension band. The total effective rate, anatomical indicators such as palm inclination and ulnar deviation, and the range of motion of the wrist joint were compared between the two groups. Results: The total effective rate of the first group was higher than that of the second group (P < 0.05). There was no difference in anatomical indicators between the groups before operation and 3 months after operation (P > 0.05). Before operation, there was no difference in the range of motion of the wrist joint between the groups (P > 0.05). 3 months after operation, the range of motion of the wrist joint in the first group was greater than that in the second group (P < 0.05). Conclusion: The types of ulna styloid fracture can affect the effectiveness of treatment and joint mobility of distal radius fracture.

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Section: Discussionmentioning

confidence: 99%

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Wang

2023

BAS

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“…28 Other MRI techniques have also been described as methods to assess articular cartilage changes. For example, Tarabin et al 29 used the morphological sequences of Double Echo Steady-State (DESS) and True Fast Imaging With Steady-State Precession (TrueFISP) to assess articular cartilage changes after distal radius fracture and showed the potential advantage of this noninvasive method. Advanced MRI techniques were found to be able not only to identify cartilage defects and structural change but also function, reflecting the load-bearing ability of the cartilage.…”

Section: Discussionmentioning

confidence: 99%

Post-Run T₂ Mapping Changes in Knees of Adolescent Basketball Players

et al. 2021

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Objective: While articular cartilage defects are common incidental findings among adult athletes, the effect of running on the cartilage of adolescent athletes have rarely been assessed. This study aims to assess the variations in the articular cartilage of the knees in healthy adolescent basketball players using quantitative T2 MRI (magnetic resonance imaging). Design: Fifteen adolescent basketball players were recruited (13.8 ± 0.5 years old). Girls were excluded to avoid potential gender-related confounding effects. Players underwent a pre-run MRI scan of both knees. All participants performed a 30-minute run on a treadmill. Within 15 minutes after completion of their run, players underwent a second, post-run MRI scan. Quantitative T2 maps were generated using the echo modulation curve (EMC) algorithm. Pre-run scans and post-run scans were compared using paired t test. Results: Participants finished their 30-minute run with a mean running distance of 5.77 ± 0.42 km. Pre-run scans analysis found statistically significant ( P < 0.05) changes in 3 regions of the knee lateral compartment representing the cartilaginous tissue. No differences were found in the knee medial compartment. Post-run analysis showed lower T2 values in the medial compartment compared to the pre-run scans in several weight-bearing regions: femoral condyle central (pre/post mean values of 33.9/32.2 ms, P = 0.020); femoral condyle posterior (38.1/36.8 ms, P = 0.038); and tibial plateau posterior (34.1/31.0 ms, P < 0.001). The lateral regions did not show any significant changes. Conclusions: Running leads to microstructural changes in the articular cartilage in several weight-bearing areas of the medial compartment, both in the femoral and the tibial cartilage.

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“…Tarabin et al 30 showed that posttraumatic radiocarpal articular cartilage damage did not differ between fractures with intraarticular and extra-articular extensions, but patients with fractures had notably higher risk of articular cartilage degradation compared with healthy controls.…”

Section: Diagnostic Studies: Cartilage Injuriesmentioning

confidence: 99%

Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review

2021

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Objective: Focal cartilage injuries, and posttraumatic osteoarthritis (OA) in the wrist are likely common and a cause of wrist pain. To estimate the incidence of cartilage lesions and to understand the pathomechanisms leading to wrist cartilage injuries and OA, a literature review on the subject was performed combined with a presentation of one of the authors’ own experience. Design: This study includes a literature review of the topic. As a comparison to the review findings, the observations of one of the authors’ consecutive 48 wrist arthroscopies, were assessed. PubMed, Scholar, and Cochrane databases were searched using the keywords “cartilage injury AND wrist AND treatment” and “wrist AND cartilage AND chondral AND osteochondral AND degenerative OA.” :Result A total of 11 articles, including 9 concerning chondral and osteochondral repair and treatment and 2 regarding posttraumatic OA, were retrieved. The cartilage repair treatments used in these articles were drilling, osteochondral autograft, juvenile articular cartilage allograft, and chondrocyte implantation. One article displayed concomitant cartilage injuries in displaced distal radius fractures in 32% of the patients. The review of our findings from a 1-year cohort of wrist arthroscopies showed 17% cartilage injuries. Conclusion: There is a lack of knowledge in current literature on cartilage injuries and treatment, as well as posttraumatic OA in the wrist. Cartilage injuries appear to be common, being found in 17% to 32% of all wrist arthroscopies after trauma, but no guidelines regarding conservative or surgical treatment can be recommended at the moment. Larger prospective comparative studies are needed.

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Assessment of Articular Cartilage Disorders After Distal Radius Fracture Using Biochemical and Morphological Nonenhanced Magnetic Resonance Imaging

Cited by 4 publications

References 26 publications

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Post-Run T₂ Mapping Changes in Knees of Adolescent Basketball Players

Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review

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Assessment of Articular Cartilage Disorders After Distal Radius Fracture Using Biochemical and Morphological Nonenhanced Magnetic Resonance Imaging

Cited by 4 publications

References 26 publications

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Influence of Ulnar Styloid Fracture Types on the Treatment of Distal Radius Fractures

Post-Run T2 Mapping Changes in Knees of Adolescent Basketball Players

Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review

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Post-Run T₂ Mapping Changes in Knees of Adolescent Basketball Players