The Utility of High-Resolution Magnetic Resonance Imaging in the Evaluation of the Triangular Fibrocartilage Complex of the Wrist*

Potter, Hollis G.; Asnis-Ernberg, Lauren; Weiland, Andrew J.; Hotchkiss, Robert N.; Peterson, Margaret G. E.; McCormack, Richard R.

doi:10.2106/00004623-199711000-00009

Cited by 164 publications

(89 citation statements)

References 21 publications

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“…These results can also be attributed to the fact that the study the study did not utilize any standard for determining the specificity and sensitivity for MRI as in other studies [15]. Finally, correlation of these results are required to be correlated with patient's history and physical examination.…”

Section: Discussionmentioning

confidence: 98%

“…Multiple factors can play a major role in MRI accuracy in detecting TFCC lesions; the magnetic field strength is one of these factors as it was shown by Anderson et al who suggested that imaging with 3.0 T offers higher quality at a given spatial resolution [10]. Special coils were used while scanning and the area under investigation also have their reflection on the accuracy of imaging [15,20]. Moreover, Haims et al reported that MRI was not accurate in detecting TFCC abnormalities, especially peripheral tears (avascular area), and that the experience of the radiologist interpreting the MRI findings has a significant influence on the ability to detect and localize TFCC abnormalities [20].…”

Section: Discussionmentioning

confidence: 99%

“…The findings made by Potter et al have underlined limitations of MRI for distinguishing between the complete and partial fibrocartilage tears because among 90% of the participants the results remained unclear [15]. Probability of misinterpretations is present in TFCC examination through MRI as full-thickness disruptions usually appear as partial disruptions in MRI images.…”

Section: Discussionmentioning

confidence: 99%

“…The fact that prevalence of degenerative tears is related to age and that older asymptomatic patients are more susceptible to reflect TFCC on examination with MRI has also been affirmed by Potter et al [15]. Increase in age imparts several complexities and attritional changes specifically within the avascular part of the disc.…”

Section: Introductionmentioning

confidence: 87%

“…However, the findings differ in the aspect that complex tears are sustainable when there is a superimposition of traumatic avulsion on a central attritional defect. Nevertheless, there has been no significant difference detected in age when viewed by dividing tears in accordance with the different locations including central, peripheral, and complex [15].…”

Section: Introductionmentioning

confidence: 93%

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Prevalence of Triangular Fibrocartilage Complex Abnormalities among Asymptomatic Young Individuals Using Magnetic Resonance Imaging in A Tertiary Center in Saudi Arabia: A Cross-Sectional Study

Fairag¹,

Alshareef²,

Alharbi³

et al. 2017

Med Case Rep

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This study aims to detect and evaluate abnormalities and injuries of triangular fibrocartilage complex (TFCC) using 3.0 T high-resolution MRI. It also determines its efficacy among young asymptomatic individuals. This is a cross sectional exploratory study with a sample size of 30 (21 women and 9 men). None of the volunteers showed signs for previous wrist injuries. Details of TFCC morphology were determined using MRI images for dominant wrist. Analysis of locations for tear or degeneration or any characteristics was also performed. An incomplete or partial tear was presented by 5 volunteers (all women) whereas degeneration or complete tear was absent. Besides, 25 volunteers showed an intact ligament including all men. Prevalence of incidental TFCC is found to be less insignificant. The fact that participants showed less prevalence of asymptomatic abnormalities can be related to their young age. Close correlation of the findings with physical examination and history of individuals is required. Level of Evidence:Diagnostic, Level III.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 87%

Section: Introductionmentioning

confidence: 93%

See 3 more Smart Citations

Prevalence of Triangular Fibrocartilage Complex Abnormalities among Asymptomatic Young Individuals Using Magnetic Resonance Imaging in A Tertiary Center in Saudi Arabia: A Cross-Sectional Study

Fairag¹,

Alshareef²,

Alharbi³

et al. 2017

Med Case Rep

View full text Add to dashboard Cite

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High‐resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: Comparison of surface coil and volume coil

Bittersohl

Huang

Schneider

et al. 2007

Magnetic Resonance Imaging

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Purpose: To evaluate high-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T using a surface coil (SC) or volume coil (VC). Materials and Methods:MRI was obtained from nine volunteers in the supine position with a 3-inch SC and in prone position with a transmit-receiver wrist VC at 3T. Coronal two-dimensional-gradient echo (2D-GRE) images (TR/TE/ FA ϭ 500 msec/15 msec/40°, 1 mm slice-thickness, 60 mm field of view [FOV], 192 ϫ 256 matrix) and coronal 3D-GRE images (TR/TE/FA ϭ 33 msec/15 msec/10°, 0.8 mm slicethickness, 80 mm FOV, 256 ϫ 256 matrix) were used. Signalto-noise ratio (SNR) and contrast-to-noise ratio (CNR) of the TFCC and surrounding structures were measured. For qualitative measurement, visualization of TFCC and intercarpal ligaments was graded.

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Routine 3D magnetic resonance imaging of joints

Kijowski

Gold

2011

Magnetic Resonance Imaging

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Due to its high spatial resolution and excellent tissue contrast, magnetic resonance (MR) imaging has become the most commonly used imaging method to evaluate joints. Most musculoskeletal MR imaging is performed using two-dimensional fast spin-echo sequences. However, three-dimensional sequences have also been used for joint imaging and have the advantage of acquiring thin continuous slices through joints which reduces the effects of partial volume averaging. With recent advances in MR technology, three-dimensional sequences with isotropic resolution have been developed. These sequences allow high quality multi-planar reformat images to be obtained following a single acquisition, thereby eliminating the need to repeat sequences with identical tissue contrast in different planes. Preliminary results on the diagnostic performance of three-dimensional isotropic resolution sequences are encouraging. However, additional studies are needed to determine whether these sequences can replace currently used two-dimensional fast spin-echo sequences for providing comprehensive joint assessment in clinical practice.

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The Utility of High-Resolution Magnetic Resonance Imaging in the Evaluation of the Triangular Fibrocartilage Complex of the Wrist*

Cited by 164 publications

References 21 publications

Prevalence of Triangular Fibrocartilage Complex Abnormalities among Asymptomatic Young Individuals Using Magnetic Resonance Imaging in A Tertiary Center in Saudi Arabia: A Cross-Sectional Study

Prevalence of Triangular Fibrocartilage Complex Abnormalities among Asymptomatic Young Individuals Using Magnetic Resonance Imaging in A Tertiary Center in Saudi Arabia: A Cross-Sectional Study

High‐resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: Comparison of surface coil and volume coil

Routine 3D magnetic resonance imaging of joints

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