The Quantitative Anatomy of the Dorsal Scapholunate Interosseous Ligament

Manske, M. Claire; Huang, Jerry I.

doi:10.1177/1558944718798846

Cited by 6 publications

(17 citation statements)

References 31 publications

(34 reference statements)

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“…The measurement of the scapholunate joint space, immediately underneath the dorsal portion of SLIL, appears to be a fast and repeatable procedure. Nevertheless, as previously reported by Manske et al (14) , scapholunate gap measured using US seems wider than assessed with plain radiography and magnetic resonance imaging (MRI) (3,24) , presumably due to the more dorsal site of measurement with US.…”

Section: Discussionmentioning

confidence: 63%

“…Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting Secondly, no comparison of US measurements and findings with the imaging gold standards such as radiography or MRI was made, since the study was carried out in a scenario of real clinical practice, where only a minority of patients need to undergo other imaging techniques. However, all US measurements were standardized and repeatable on the basis of previous studies (7,14,19,20) . Thirdly, the small number of subjects and nonhomogeneity of the cohort in terms of age and disease duration do not allow to draw definitive conclusions about the causative factors of SLIL degeneration.…”

Section: Discussionmentioning

confidence: 99%

“…3. Dorsal axial scan on a rheumatoid wrist(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Severe degeneration of scapholunate interosseous ligament (absence of definite ligamentous structure), with dissociation >3.5 mm between scaphoid (S) and lunate (L) bones, consistent with scapholunate advanced collapse (SLAC).…”

mentioning

confidence: 99%

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Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

et al. 2021

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Aim: The aims of the study were to perform an ultrasound assessment of the dorsal portion of the scapholunate interosseous ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting, to describe ultrasound abnormalities about scapholunate interosseous ligament region, and to correlate them with clinical data, presence of dorsal ganglion cysts and diagnoses of rheumatic diseases. Material and methods: Seventy-four consecutive patients with wrist pain and/or swelling were evaluated by routine power Doppler ultrasound. Forty normal wrists were studied to confirm the normality values of the scapholunate joint. Results: The mean width of the normal scapholunate joint was 2.49 mm (±0.49 SD), with a coefficient of variation on repeated measurements of 3.662%. The best predictors of scapholunate interosseous ligament degeneration were: older age (p <0.0001), male gender (p = 0.0049), and radiocarpal effusion (p = 0.0156). The presence of osteophytosis and calcifications of the scapholunate joint were higher (p <0.001) in rheumatic patients. Scapholunate calcifications showed a sensitivity of 98.2% and a specificity of 61.1% for calcium pyrophosphate deposition disease. Dorsal ganglion cysts were more frequent in younger subjects (p <0.0012) without rheumatic conditions (p <0.0001) or midcarpal synovitis (p <0.0001). Larger cysts often exhibited power Doppler signal (p <0.0001). The best predictors of scapholunate dissociation were: male gender (p = 0.0002), presence of midcarpal synovitis (p <0.0137), and higher grade of scapholunate interosseous ligament degeneration (p <0.0001). Scapholunate widening was greater (p = 0.0419) in calcium pyrophosphate deposition disease or rheumatoid arthritis than in other rheumatic conditions. Conclusions: Ultrasound findings of scapholunate interosseous ligament degeneration and calcification, scapholunate space enlargement, and dorsal ganglion cysts should be considered in ultrasound reporting, since they add useful information about the diagnosis of associated rheumatic conditions.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

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Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

et al. 2021

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“…A feasibility study on 6 subjects by Viviano et al 65 outlined UHFUS capabilities in hand imaging and discussed the potential application of this technique as a support both to the diagnosis of subcutaneous tissue, tendon, nerve, and vascular pathologies in the hand and wrist and to hand surgery. Manske and Huang 66 proposed a quantitative UHFUS evaluation of the anatomy of the dorsal scapholunate interosseous ligament in 20 subjects, due to its importance for carpal stability after hand surgical procedures.…”

Section: Resultsmentioning

confidence: 99%

“…At present, UHFUS is employed for dermatological, vascular, musculoskeletal, intraoral, and small parts applications. 10 -75 The aim of the present research is to provide a review of current clinical literature on the potential applications of UHFUS in order to discuss its role in diverse clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

et al. 2020

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Objectives: Ultra-high frequency ultrasonography (UHFUS) is a recently introduced diagnostic technique which finds several applications in diverse clinical fields. The range of frequencies between 30 and 100 MHz allows for high spatial resolution imaging of superficial structures, making this technique suitable for the imaging of skin, blood vessels, musculoskeletal anatomy, oral mucosa, and small parts. However, the current clinical applications of UHFUS have never been analyzed in a consistent multidisciplinary manner. The aim of this study is to revise and discuss the current applications of UHFUS in different aspects of research and clinical practice, as well as to provide some examples of the current work-in-progress carried out in our center. Materials and Methods: A literature search was performed in order to retrieve articles reporting the applications of UHFUS both in research and in clinical settings. Inclusion criteria were the use of frequencies above 30 MHz and study design conducted in vivo on human subjects. Results: In total 66 articles were retrieved. The majority of the articles focused on dermatological and vascular applications, although musculoskeletal and intraoral applications are emerging fields of use. We also describe our experience in the use of UHFUS as a valuable diagnostic support in the fields of dermatology, rheumatology, oral medicine, and musculoskeletal anatomy. Conclusion: Ultra-high frequency ultrasonography application involves an increasing number of medical fields. The high spatial resolution and the superb image quality achievable allow to foresee a wider use of this novel technique, which has the potential to bring innovation in diagnostic imaging.

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Dorsal scapholunate interosseous ligament: ultrasound evaluation between dominant and non-dominant wrist in young sports patients

et al. 2022

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The Quantitative Anatomy of the Dorsal Scapholunate Interosseous Ligament

Cited by 6 publications

References 31 publications

Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

Ultrasound evaluation of the scapholunate ligament and scapholunate joint space in patients with wrist complaints in a rheumatologic setting

Ultra-High Frequency Ultrasound, A Promising Diagnostic Technique: Review of the Literature and Single-Center Experience

Dorsal scapholunate interosseous ligament: ultrasound evaluation between dominant and non-dominant wrist in young sports patients

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