The efficacy of ultrasound in the evaluation of dynamic scapholunate ligamentous instability

The Journal of Bone and Joint Surgery. American Volume
Khiem D DaoMichael L Puckett

Abstract

The accuracy of diagnostic imaging modalities that are currently used to evaluate dynamic scapholunate ligamentous instability is equivocal. Ultrasound is commonly used for a wide variety of diagnostic purposes in orthopaedics. The purpose of the present study was to determine the efficacy of ultrasound in the diagnosis of dynamic scapholunate ligamentous instability. Two groups of individuals were prospectively studied. Group A included patients with a clinical diagnosis of unilateral dynamic scapholunate ligamentous instability, and Group B included asymptomatic volunteer control subjects. Dynamic ultrasound examinations of the dorsal portion of the scapholunate ligament in both wrists of all individuals were performed by radiologists. The radiologists were blinded with regard to the group to which each person belonged as well as with regard to the affected wrist in the patients in Group A. Arthroscopic examinations of the affected wrist in all of the patients in Group A were then performed by surgeons who were blinded with regard to the results of the ultrasound examination, and the results of the arthroscopic and ultrasound examinations were compared. The ability of ultrasound to discern asymptomatic from symptomatic indivi...Continue Reading

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Citations

Apr 6, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Timothy P Fowler
Nov 17, 2010·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Mihra S TaljanovicLee F Rogers
Jun 30, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Harlan M StarrMichael S Murphy
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Jul 31, 2013·Expert Review of Medical Devices·Leila KoliosMarcus Lehnhardt
Jan 17, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Justin W ZumstegGreg A Merrell
Jun 1, 2021·Hand Surgery and Rehabilitation·R LabèrA Schweizer
Jun 9, 2021·European Radiology·Tobias Johannes DietrichIwona Sudoł-Szopińska
Sep 4, 2021·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Daniela FodorEsperanza Naredo

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