Wrist arthrography: a simple method

Berná-Serna, Juan de Dios; Martínez‐Martínez, Francisco J.; Reus, Manuel; Alonso, J.A.; Domenech-Ratto, Ginés

doi:10.1007/s00330-005-2834-6

Cited by 9 publications

(12 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For this reason, the injection of intra-articular contrast media has been justified [10]. MR arthrography combines the advantage of conventional MR imaging with that of arthrography by improving the visualization of small structures, such as the intrinsic ligaments of the wrist [9, 10, 16]. Tricompartmental arthrographic injection of the wrist, as suggested by Robinson et al, has been reported to allow best evaluation of the intrinsic ligaments [17].…”

Section: Discussionmentioning

confidence: 99%

Differences between radial and ulnar deviation of the wrist in the study of the intrinsic intercarpal ligaments: magnetic resonance imaging and gross anatomic inspection in cadavers

et al. 2009

View full text Add to dashboard Cite

ObjectiveTo demonstrate how radial and ulnar deviation of the wrist can affect the visualization of the intrinsic intercarpal ligaments using magnetic resonance (MR) imaging, MR arthrography and gross anatomic inspection in cadavers.Materials and methodsThe detectability of the intrinsic intercarpal ligaments of ten fresh human wrists was analyzed in coronal, axial and sagittal images in the neutral position and in radial and ulnar deviation with MR imaging and MR arthrography. The findings were then correlated with gross anatomic inspection. Additionally, quantitative measurements including the radiocarpal distances and capitate angles were performed.ResultsDifferences were noted in the visual conspicuity of only the intercarpal ligaments of the proximal carpal row with different techniques and wrist positions. The average width of the radiocarpal joint was 0.62 mm, 1.55 mm and 2.0 mm (radial side) and 3.78 mm, 2.25 mm and 1.16 mm (ulnar side) in radial deviation, neutral position, and ulnar deviation of the wrist, respectively. Statistically, these maneuvers produced significant opening in the ulnar side during radial deviation (Student’s t-test; P = 0.0005) and in the radial side in ulnar deviation (P = 0.007).ConclusionSignificant differences in the width of the radiocarpal joint were observed during radial and ulnar deviation of the wrist, influencing the visualization of the intrinsic ligaments, mainly the scapholunate and lunotriquetral ligaments. The use of MR arthrography with radial and/or ulnar deviation has the potential to improve diagnosis in clinical cases in which injury to one or both of these ligaments is suggested.

show abstract

Section: Discussionmentioning

confidence: 99%

Differences between radial and ulnar deviation of the wrist in the study of the intrinsic intercarpal ligaments: magnetic resonance imaging and gross anatomic inspection in cadavers

et al. 2009

View full text Add to dashboard Cite

show abstract

“…In the classic technique, the contrast agent is firstly injected into the midcarpal and distal radioulnar joints under fluoroscopic control, followed by the arthrography of the radiocarpal joint two hours later. A modified procedure uses an adhesive marker-plate with radiopaque coordinates for simple puncture guidance [46]. Wrist arthrography enables the detection of communication defects with high sensitivity [45], but hampers from low specificity rates due to the inability to differentiate nonsymptomatic central defects from lesions of the peripheral ligament segments [44].…”

Section: Kinematography (Cr)mentioning

confidence: 99%

Carpal instability

et al. 2006

View full text Add to dashboard Cite

This review addresses the pathoanatomical basics as well as the clinical and radiological presentation of instability patterns of the wrist. Carpal instability mostly follows an injury; however, other diseases, like CPPD arthropathy, can be associated. Instability occurs either if the carpus is unable to sustain physiologic loads ("dyskinetics") or suffers from abnormal motion of its bones during movement ("dyskinematics"). In the classification of carpal instability, dissociative subcategories (located within proximal carpal row) are differentiated from non-dissociative subcategories (present between the carpal rows) and combined patterns. It is essential to note that the unstable wrist initially does not cause relevant signs in standard radiograms, therefore being "occult" for the radiologic assessment. This paper emphasizes the high utility of kinematographic studies, contrast-enhanced magnetic resonance imaging (MRI) and MR arthrography for detecting these predynamic and dynamic instability stages. Later in the natural history of carpal instability, static malalignment of the wrist and osteoarthritis will develop, both being associated with significant morbidity and disability. To prevent individual and socio-economic implications, the hand surgeon or orthopedist, as well as the radiologist, is challenged for early and precise diagnosis.

show abstract

“…The major issue is the time needed for data analysis and interpretation. A large number of scoring systems, both quantitative and qualitative, have been developed in recent years in order to monitor both the evolution and the treatment of musculoskeletal diseases 154–159 …”

Section: Rheumatoid Arthritismentioning

confidence: 99%

“…A large number of scoring systems, both quantitative and qualitative, have been developed in recent years in order to monitor both the evolution and the treatment of musculoskeletal diseases. [154][155][156][157][158][159]…”

Section: Scoring Mri Datamentioning

confidence: 99%

Quantifying Disease Activity and Damage by Imaging in Rheumatoid Arthritis and Osteoarthritis

Kubassova

Boesen

Peloschek

et al. 2009

Annals of the New York Academy of Sciences

View full text Add to dashboard Cite

Traditional imaging, represented by radiographs, provides a very concise description of anatomical pathology of bony structures. Both degenerative and inflammatory joint diseases are characterized by progressive joint destruction, and valid, reproducible measures of disease impact are available. Much effort has been expended to develop scoring systems for joint destruction in both osteoarthritis and rheumatoid arthritis, and the most common internationally accepted semiobjective scores are presented. The anatomical pathology mirrors the past activity of the disease, and advanced imaging gives an impression of the actual disease processes, which subsequently lead to the damage. Such information is required to facilitate the development of efficient therapy against arthritis. Newer technology, exemplified by MRI and ultrasound Doppler, supplements images of structural change with functional data of ongoing disease activity. This chapter focuses on the possibilities for quantification of images in MRI and ultrasound, in which postcontrast enhancement and Doppler information, respectively, are of special interest for the evaluation of the inflammatory changes of arthritis. To save time and eliminate human bias, automation is mandatory. In ultrasound, semiautomatic evaluations are coming that allow for a real-time, reproducible estimate of disease activity. With MRI fully automated algorithms have been developed for processing of data of bony structures, cartilage, and soft tissue, and are currently being implemented into everyday clinical practice.

show abstract

Wrist arthrography: a simple method

Cited by 9 publications

References 8 publications

Differences between radial and ulnar deviation of the wrist in the study of the intrinsic intercarpal ligaments: magnetic resonance imaging and gross anatomic inspection in cadavers

Differences between radial and ulnar deviation of the wrist in the study of the intrinsic intercarpal ligaments: magnetic resonance imaging and gross anatomic inspection in cadavers

Carpal instability

Quantifying Disease Activity and Damage by Imaging in Rheumatoid Arthritis and Osteoarthritis

Contact Info

Product

Resources

About