Assessment of Triangular Fibro-cartilaginous Complex Injuries of The Wrist Using High Resolution Ultrasound versus Magnetic Resonance Imaging

Kadry, Omar Ashraf; Algebally, Ahmed M.; Almassry, Hosam Nabil; Salem, Ahmed F.

doi:10.21608/ejhm.2021.207095

Cited by 1 publication

(2 citation statements)

References 13 publications

(15 reference statements)

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“…TFCC injury or degeneration was discovered by MRI in 16 joints but only by US in 14 joints, hence there was a high degree of agreement between the two methods in the present investigation. Our results are supported by Kadry et al [13] who reported that wrist discomfort or reduced wrist mobility was reported by 35 individuals with a mean age of 39 ± 13.18 years old. The US detected 18 positive cases with TFCC injury with a percentage of 51.4%.…”

Section: Discussionsupporting

confidence: 91%

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Diagnostic and Interventional Role of Magnetic Resonance Imaging and Ultrasound in Painful Wrist Conditions

Aswad¹,

Radwan²,

Esmail³

et al. 2023

The Egyptian Journal of Hospital Medicine

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Background: Ultrasound (US) is the best technique for imaging tendons as it allows dynamic tendon examination. Magnetic Resonance Imaging (MRI) can be utilized to enhance detection and evaluation of several wrist disorders. Magnetic Resonance arthrography (MRA) is the modality of choice for triangular fibrocartilage complex (TFCC) assessment. Objective: The aim of this work was to evaluate diagnostic and interventional management of MRI and US in painful wrist conditions. Patients and Methods: This prospective study was carried out on 50 patients aging from 12 to 66 years with wrist pain. All patients were subjected to MRI, MRA and US examination. Results: US predicted bone fracture, ganglion cysts, late avascular necrosis, first, second, third, fourth and sixth (extensor carpi ulnaris) compartment tendon involvement, flexor tendon injury, median nerve involvement, rheumatoid arthritis and osteoarthritic changes. Conclusions: US showed promising results regarding the examination of superficial bony and soft tissue structures of the wrist. However, MRI is better for evaluation of internal wrist derangement. Ultrasound is also highly operator dependent. MRA is highly accurate for the evaluation of TFCC and ligamentous injury of the wrist joint.

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Section: Discussionsupporting

confidence: 91%

“…In both the Physical Medicine and Radiology Departments at Cairo University Hospitals, highfrequency linear probes of Samsung MEDISON UGEOH60 (5)(6)(7)(8)(9)(10)(11)(12)(13) were used for US tests; in 5 cases, GE Logic pro6 (7)(8)(9)(10)(11) was used instead.…”

Section: Ultrasonographic Examinationmentioning

confidence: 99%