MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation
The goal of this study was to compare MR imaging with arthroscopy in evaluating triangular fibrocartilage (TFC) pathology. The results of 178 MR imaging examinations of the wrist were independently reviewed by two musculoskeletal radiologists who were unaware of the the clinical history, including a...
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| Veröffentlicht in: | American journal of roentgenology (1976) 1997-06, Vol.168 (6), p.1513-1518 |
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| container_title | American journal of roentgenology (1976) |
| container_volume | 168 |
| creator | Oneson, SR Timins, ME Scales, LM Erickson, SJ Chamoy, L |
| description | The goal of this study was to compare MR imaging with arthroscopy in evaluating triangular fibrocartilage (TFC) pathology.
The results of 178 MR imaging examinations of the wrist were independently reviewed by two musculoskeletal radiologists who were unaware of the the clinical history, including any subsequent surgery. One hundred forty-nine of these studies were obtained from symptomatic patients. Of these patients, 56 underwent arthroscopic evaluation of the TFC. The remaining 29 studies were obtained from control volunteers and duplicate cases to reduce bias. The data were divided into categories based on Palmer's classification of TFC injury. Diagnostic sensitivity, specificity, and accuracy were calculated for each category.
Of the 56 patients who underwent arthroscopic evaluation of the TFC, 27 had TFCs that were intact at surgery. Also, 27 complete perforations and two partial defects were found at surgery. Sensitivity for detecting central degenerative perforations was 91% for both observers I and II. Sensitivity for detecting radial slitlike tears was 100% and 86% for observers I and II, respectively. Sensitivity for detecting ulnar-sided avulsions was 25% and 50% for observers I and II, respectively.
MR imaging is accurate in revealing TFC perforations. |
| doi_str_mv | 10.2214/ajr.168.6.9168716 |
| format | Article |
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The results of 178 MR imaging examinations of the wrist were independently reviewed by two musculoskeletal radiologists who were unaware of the the clinical history, including any subsequent surgery. One hundred forty-nine of these studies were obtained from symptomatic patients. Of these patients, 56 underwent arthroscopic evaluation of the TFC. The remaining 29 studies were obtained from control volunteers and duplicate cases to reduce bias. The data were divided into categories based on Palmer's classification of TFC injury. Diagnostic sensitivity, specificity, and accuracy were calculated for each category.
Of the 56 patients who underwent arthroscopic evaluation of the TFC, 27 had TFCs that were intact at surgery. Also, 27 complete perforations and two partial defects were found at surgery. Sensitivity for detecting central degenerative perforations was 91% for both observers I and II. Sensitivity for detecting radial slitlike tears was 100% and 86% for observers I and II, respectively. Sensitivity for detecting ulnar-sided avulsions was 25% and 50% for observers I and II, respectively.
MR imaging is accurate in revealing TFC perforations.</description><identifier>ISSN: 0361-803X</identifier><identifier>EISSN: 1546-3141</identifier><identifier>DOI: 10.2214/ajr.168.6.9168716</identifier><identifier>PMID: 9168716</identifier><identifier>CODEN: AAJRDX</identifier><language>eng</language><publisher>Leesburg, VA: Am Roentgen Ray Soc</publisher><subject>Adult ; Arthroscopy ; Biological and medical sciences ; Cartilage, Articular - injuries ; Case-Control Studies ; Diseases of the osteoarticular system ; Female ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Predictive Value of Tests ; Sensitivity and Specificity ; Wrist - pathology ; Wrist Injuries - diagnosis</subject><ispartof>American journal of roentgenology (1976), 1997-06, Vol.168 (6), p.1513-1518</ispartof><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c400t-a020fc47f1615b60b96b7b436ebe7d6a338bcb834684bd6da06f44293bb841833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4120,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2684108$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9168716$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oneson, SR</creatorcontrib><creatorcontrib>Timins, ME</creatorcontrib><creatorcontrib>Scales, LM</creatorcontrib><creatorcontrib>Erickson, SJ</creatorcontrib><creatorcontrib>Chamoy, L</creatorcontrib><title>MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation</title><title>American journal of roentgenology (1976)</title><addtitle>AJR Am J Roentgenol</addtitle><description>The goal of this study was to compare MR imaging with arthroscopy in evaluating triangular fibrocartilage (TFC) pathology.
The results of 178 MR imaging examinations of the wrist were independently reviewed by two musculoskeletal radiologists who were unaware of the the clinical history, including any subsequent surgery. One hundred forty-nine of these studies were obtained from symptomatic patients. Of these patients, 56 underwent arthroscopic evaluation of the TFC. The remaining 29 studies were obtained from control volunteers and duplicate cases to reduce bias. The data were divided into categories based on Palmer's classification of TFC injury. Diagnostic sensitivity, specificity, and accuracy were calculated for each category.
Of the 56 patients who underwent arthroscopic evaluation of the TFC, 27 had TFCs that were intact at surgery. Also, 27 complete perforations and two partial defects were found at surgery. Sensitivity for detecting central degenerative perforations was 91% for both observers I and II. Sensitivity for detecting radial slitlike tears was 100% and 86% for observers I and II, respectively. Sensitivity for detecting ulnar-sided avulsions was 25% and 50% for observers I and II, respectively.
MR imaging is accurate in revealing TFC perforations.</description><subject>Adult</subject><subject>Arthroscopy</subject><subject>Biological and medical sciences</subject><subject>Cartilage, Articular - injuries</subject><subject>Case-Control Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Predictive Value of Tests</subject><subject>Sensitivity and Specificity</subject><subject>Wrist - pathology</subject><subject>Wrist Injuries - diagnosis</subject><issn>0361-803X</issn><issn>1546-3141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE9r3DAQxUVoSbdJP0AOBR1Ke_JWY2ll-RhC_0FKobSQnMRIlm0FrbWRvJh8-6isSU8DM7958-YRcgVsW9cgPuND2oJUW7ltS2lAnpEN7ISsOAh4RTaMS6gU43dvyNucHxhjjWqbc3K-4hty__M39Xsc_DTQzuMwxewzjT2dk8dpOAZMtPcmRYtp9gEHRw84jzHE4Ykufh5p6Y8pZhsP3lIbU3IBZx-nS_K6x5Ddu7VekL9fv_y5-V7d_vr24-b6trKCsblCVrPeiqYHCTsjmWmlaYzg0hnXdBI5V8YaxYVUwnSyQyZ7IeqWG6MEKM4vyMeT7iHFx6PLs977bF0IOLl4zLppGRcCmgLCCbTFbk6u14dUXk9PGpj-F6cuceoSjJZ6zafsvF_Fj2bvupeN__MP6xyzxdAnnKzPL1hdTANTBft0wkY_jItPTuc9hlBEQS_LcroJO-D8GbY5jK0</recordid><startdate>19970601</startdate><enddate>19970601</enddate><creator>Oneson, SR</creator><creator>Timins, ME</creator><creator>Scales, LM</creator><creator>Erickson, SJ</creator><creator>Chamoy, L</creator><general>Am Roentgen Ray Soc</general><general>American Roentgen Ray Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970601</creationdate><title>MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation</title><author>Oneson, SR ; Timins, ME ; Scales, LM ; Erickson, SJ ; Chamoy, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c400t-a020fc47f1615b60b96b7b436ebe7d6a338bcb834684bd6da06f44293bb841833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Arthroscopy</topic><topic>Biological and medical sciences</topic><topic>Cartilage, Articular - injuries</topic><topic>Case-Control Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Predictive Value of Tests</topic><topic>Sensitivity and Specificity</topic><topic>Wrist - pathology</topic><topic>Wrist Injuries - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oneson, SR</creatorcontrib><creatorcontrib>Timins, ME</creatorcontrib><creatorcontrib>Scales, LM</creatorcontrib><creatorcontrib>Erickson, SJ</creatorcontrib><creatorcontrib>Chamoy, L</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of roentgenology (1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oneson, SR</au><au>Timins, ME</au><au>Scales, LM</au><au>Erickson, SJ</au><au>Chamoy, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation</atitle><jtitle>American journal of roentgenology (1976)</jtitle><addtitle>AJR Am J Roentgenol</addtitle><date>1997-06-01</date><risdate>1997</risdate><volume>168</volume><issue>6</issue><spage>1513</spage><epage>1518</epage><pages>1513-1518</pages><issn>0361-803X</issn><eissn>1546-3141</eissn><coden>AAJRDX</coden><abstract>The goal of this study was to compare MR imaging with arthroscopy in evaluating triangular fibrocartilage (TFC) pathology.
The results of 178 MR imaging examinations of the wrist were independently reviewed by two musculoskeletal radiologists who were unaware of the the clinical history, including any subsequent surgery. One hundred forty-nine of these studies were obtained from symptomatic patients. Of these patients, 56 underwent arthroscopic evaluation of the TFC. The remaining 29 studies were obtained from control volunteers and duplicate cases to reduce bias. The data were divided into categories based on Palmer's classification of TFC injury. Diagnostic sensitivity, specificity, and accuracy were calculated for each category.
Of the 56 patients who underwent arthroscopic evaluation of the TFC, 27 had TFCs that were intact at surgery. Also, 27 complete perforations and two partial defects were found at surgery. Sensitivity for detecting central degenerative perforations was 91% for both observers I and II. Sensitivity for detecting radial slitlike tears was 100% and 86% for observers I and II, respectively. Sensitivity for detecting ulnar-sided avulsions was 25% and 50% for observers I and II, respectively.
MR imaging is accurate in revealing TFC perforations.</abstract><cop>Leesburg, VA</cop><pub>Am Roentgen Ray Soc</pub><pmid>9168716</pmid><doi>10.2214/ajr.168.6.9168716</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0361-803X |
| ispartof | American journal of roentgenology (1976), 1997-06, Vol.168 (6), p.1513-1518 |
| issn | 0361-803X 1546-3141 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_79034417 |
| source | American Roentgen Ray Society; MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Arthroscopy Biological and medical sciences Cartilage, Articular - injuries Case-Control Studies Diseases of the osteoarticular system Female Humans Magnetic Resonance Imaging Male Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Predictive Value of Tests Sensitivity and Specificity Wrist - pathology Wrist Injuries - diagnosis |
| title | MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation |
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