Cine MRI: a new approach to the diagnosis of scapholunate dissociation

Skeletal Radiology
I LangnerS Langner

Abstract

To evaluate the feasibility of cine MRI for the detection of scapholunate dissociation (SLD) and to compare the sensitivity and specificity of cine MRI with those of cineradiography and arthroscopy. To evaluate feasibility, healthy subjects underwent cine MRI of the wrist. To evaluate sensitivity and specificity, patients with clinically suspected scapholunate ligament (SLL) injury after trauma to the wrist were prospectively included and underwent radiographic examination, cineradiography, and cine MRI. In 25 out of 38 patients, subsequent arthroscopy was performed. Results of cineradiography and cine MRI correlated with those of arthroscopy. Cine MRI was of diagnostic quality in all healthy subjects and patients with good interrater agreement. There was excellent correlation between cineradiography and cine MRI. Scapholunate distance differed significantly between healthy subjects and patients with scapholunate dissociation (p < 0.001), but not between imaging modalities in the patient group. Cine MRI had 85% sensitivity and 90% specificity for the detection of SLD. Cine MRI of the wrist is a fast and reliable technique for the detection of SLD with diagnostic accuracy comparable to cineradiography. It can be easily implement...Continue Reading

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Citations

Jan 20, 2017·Current Reviews in Musculoskeletal Medicine·Nathan T MorrellAdam B Shafritz
Jul 11, 2019·Skeletal Radiology·Stephen S HenrichonRobert D Boutin
May 11, 2017·The Journal of Hand Surgery, European Volume·G S I SulkersM Maas
Jul 24, 2020·Clinical Orthopaedics and Related Research·Jenny E DornbergerLeonie Goelz
Jun 1, 2021·Hand Surgery and Rehabilitation·R LabèrA Schweizer
Jun 9, 2021·European Radiology·Tobias Johannes DietrichIwona Sudoł-Szopińska

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