Correlation of Preoperative MRI and MRA With Arthroscopically Proven Articular Cartilage Lesions of the Elbow

Theodoropoulos, John; Dwyer, Tim; Wolin, Preston M.

doi:10.1097/jsm.0b013e318266c735

Cited by 12 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The authors suggested that contrast MRI was a preferable test in detecting biceps disease. Theodoropoulos et al 19 reported similar results with sensitivity of 67% and specificity of 100% for detecting overall disease of the biceps tendon. Likewise, Nourissat et al, 15 who examined only tendinopathy of the intra-articular portion of the long head of the biceps, reported low sensitivity of 43% and a higher specificity value of 75%.…”

Section: Discussionsupporting

confidence: 70%

Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy

Razmjou

Fournier-Gosselin

Christakis

et al. 2016

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 70%

Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy

Razmjou

Fournier-Gosselin

Christakis

et al. 2016

Journal of Shoulder and Elbow Surgery

View full text Add to dashboard Cite

“…Arthrography is an older technique and its role is increasingly unclear in the era of advanced three-dimensional imaging techniques and protocols [12]. While the limits of resolution of elbow arthrograms on pediatric patients have not been evaluated, a recent study found that even magnetic resonance arthrography was inadequate in assessing articular cartilage lesions of the elbow [13]. The findings of this study further question the value of an intraoperative arthrogram in guiding surgical decision-making.…”

Section: Discussionmentioning

confidence: 94%

Does an elbow arthrogram change management after closed reduction of mildly displaced lateral condyle fractures in children?

Swarup

Chan

Mehta

et al. 2020

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

The purpose of this study was to investigate whether an elbow arthrogram after closed reduction and percutaneous fixation of lateral condyle fractures results in a change in surgical management. This is a retrospective review of lateral condyle fractures managed with closed reduction and percutaneous fixation followed by an elbow arthrogram at our institution between 2008 and 2019. Chart and radiographic review was performed and operative notes were reviewed to determine rates of subsequent intervention after arthrogram. Descriptive statistics were used to summarize the data. This study included 47 patients. The majority of patients were male (34 patients, 72%), and the mean age at time of injury was 5.5 ± 2.6 years. The mean radiographic displacement was 2.6 mm (range 0.8–6.9 mm). All fractures were managed by fellowship-trained pediatric orthopaedic surgeons with an average of 10.5 years of experience (range 0–32 years). Fractures were stabilized with percutaneous pins in 44 patients (94%) and percutaneous screws in three patients (6%). No patients had subsequent changes in management after an elbow arthrogram. There were no complications related to performance of the arthrogram. Closed reduction and percutaneous fixation is often indicated for mildly displaced lateral condyle fractures. Articular reduction after percutaneous fixation is commonly assessed using an elbow arthrogram; however, it did not change surgical management in any case reviewed over the 10-year study period. While there seems to be little risk of performing an arthrogram, the clinical utility should be further evaluated.

show abstract

“…MRI is particularly valuable in determining OCD lesion stability and viability. 25 MRA (Figure 5) is particularly helpful in detecting loose bodies, but it does not improve the sensitivity for detecting cartilage lesions. 26 Imaging features associated with a worse prognosis are a displaced fragment, physeal closure of the capitellum or lateral epicondyle, and irregular contours of the articular surface or a high signal interface on T2-weighted MRI.…”

Section: Radiology and Classificationmentioning

confidence: 99%

Section: Radiology and Classificationmentioning

confidence: 99%

Update in diagnosis, treatment, and prevention of osteochondritis dissecans of the capitellum

2023

View full text Add to dashboard Cite

Osteochondritis dissecans of the capitellum is debilitating and is a potentially sports career-ending injury in a young and athletic population. Osteochondritis dissecans typically occurs in patients between the ages of 10 and 24 years, and boys are more commonly affected than girls. Conventional radiographs have low diagnostic accuracy, and magnetic resonance imaging (with or without contrast) or computed tomography may aid in accurate diagnosis. The primary indication for non-operative treatment is the presence of an intact cartilage cap on magnetic resonance imaging, indicating a “stable lesion.” However, if operative treatment is necessary, various surgical procedures are available when operative treatment for an osteochondritis dissecans of the capitellum is considered, including open or arthroscopic removal of loose bodies, with or without microfracturing, fragment fixation, osteochondral autograft transplantation, and osteochondral allograft transplantation. The decision-making process for selecting the appropriate treatment considers factors such as the patient's characteristics, functional limitations, and lesion morphology.

show abstract

Correlation of Preoperative MRI and MRA With Arthroscopically Proven Articular Cartilage Lesions of the Elbow

Abstract: This study demonstrates that MRI and MRA with a 1.5 T magnet, as used in community practice, have limited ability to detect cartilage lesions of the elbow.

Cited by 12 publications

References 26 publications

Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy

Accuracy of magnetic resonance imaging in detecting biceps pathology in patients with rotator cuff disorders: comparison with arthroscopy

Does an elbow arthrogram change management after closed reduction of mildly displaced lateral condyle fractures in children?

Update in diagnosis, treatment, and prevention of osteochondritis dissecans of the capitellum

Contact Info

Product

Resources

About