Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI
Objectives To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations. Materials and methods This single-center retrospective...
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creator | Ferreira Branco, David Botti, Paul Bouvet, Cindy Abs, Bilal Buzzi, Marcello Beaulieu, Jean Yves Poletti, Pierre-Alexandre Bouredoucen, Hicham Boudabbous, Sana |
description | Objectives
To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations.
Materials and methods
This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations.
Results
Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm
3
(0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain (
r
= −0.2415;
p
|
doi_str_mv | 10.1007/s00330-024-10831-3 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11557617</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3127415523</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-c310c5ec3e1c39dc80a8a3ddb84c1bc2fadc85d9b752a1559673e5076686706d3</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS1ERUvhC3BAlrhwCR1nEjvhglD5V6kICcHZcmxv1pVjBzsB9dvjZZe29MDJM36_efboEfKMwSsGIM4yACJUUDcVgw5ZhQ_ICWuw3rXNwzv1MXmc8xUA9KwRj8gxdl3LhehPiHsXU1ae_kouL3RUYfQuhtdUexecLoIKhrpJjS6MVMeUrFdLIagLNF9P8xKn0ms6x3k9KIPK1tBSbN24rTbOekM_f714Qo42ymf79HCeku8f3n87_1Rdfvl4cf72stJNzZdKIwPdWo2WaeyN7kB1Co0ZukazQdcbVe5a0w-irRVr254LtC0IzjsugBs8JW_2vvM6TNZoG5akvJxT2SJdy6ic_FcJbivH-FOy4iY4E8Xh5cEhxR-rzYucXNbWexVsXLNE4ByxaXtW0Bf30Ku4plD2k8hq0RTLGgtV7ymdYs7Jbm5-w0DuopT7KGWJUv6JUu6Gnt_d42bkb3YFwD2QixRGm27f_o_tbw54qvw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3127415523</pqid></control><display><type>article</type><title>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ferreira Branco, David ; Botti, Paul ; Bouvet, Cindy ; Abs, Bilal ; Buzzi, Marcello ; Beaulieu, Jean Yves ; Poletti, Pierre-Alexandre ; Bouredoucen, Hicham ; Boudabbous, Sana</creator><creatorcontrib>Ferreira Branco, David ; Botti, Paul ; Bouvet, Cindy ; Abs, Bilal ; Buzzi, Marcello ; Beaulieu, Jean Yves ; Poletti, Pierre-Alexandre ; Bouredoucen, Hicham ; Boudabbous, Sana</creatorcontrib><description>Objectives
To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations.
Materials and methods
This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations.
Results
Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm
3
(0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain (
r
= −0.2415;
p
< 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain (
r
= 0.2466;
p
< 0.05).
Conclusion
High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification.
Clinical relevance statement
High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment.
Key Points
Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined.
High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts.
High-field MRI has a key role in the preoperative management of dorsal mucoid cysts.</description><identifier>ISSN: 1432-1084</identifier><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-024-10831-3</identifier><identifier>PMID: 38856779</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Aged ; Anatomy ; Classification ; Correlation coefficient ; Correlation coefficients ; Cysts ; Diagnostic Radiology ; Epidemiology ; Female ; Ganglion Cysts - diagnostic imaging ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Mean ; Medical imaging ; Medicine ; Medicine & Public Health ; Middle Aged ; Musculoskeletal ; Neuroradiology ; Pain ; Prevalence ; Proton density (concentration) ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Sensitivity and Specificity ; Sex ratio ; Subgroups ; Ultrasound ; Wrist ; Wrist - diagnostic imaging ; Wrist Joint - diagnostic imaging ; Young Adult</subject><ispartof>European radiology, 2024-12, Vol.34 (12), p.7856-7863</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-c310c5ec3e1c39dc80a8a3ddb84c1bc2fadc85d9b752a1559673e5076686706d3</cites><orcidid>0000-0002-2222-975X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-024-10831-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-024-10831-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38856779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferreira Branco, David</creatorcontrib><creatorcontrib>Botti, Paul</creatorcontrib><creatorcontrib>Bouvet, Cindy</creatorcontrib><creatorcontrib>Abs, Bilal</creatorcontrib><creatorcontrib>Buzzi, Marcello</creatorcontrib><creatorcontrib>Beaulieu, Jean Yves</creatorcontrib><creatorcontrib>Poletti, Pierre-Alexandre</creatorcontrib><creatorcontrib>Bouredoucen, Hicham</creatorcontrib><creatorcontrib>Boudabbous, Sana</creatorcontrib><title>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations.
Materials and methods
This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations.
Results
Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm
3
(0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain (
r
= −0.2415;
p
< 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain (
r
= 0.2466;
p
< 0.05).
Conclusion
High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification.
Clinical relevance statement
High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment.
Key Points
Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined.
High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts.
High-field MRI has a key role in the preoperative management of dorsal mucoid cysts.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anatomy</subject><subject>Classification</subject><subject>Correlation coefficient</subject><subject>Correlation coefficients</subject><subject>Cysts</subject><subject>Diagnostic Radiology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Ganglion Cysts - diagnostic imaging</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Mean</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Musculoskeletal</subject><subject>Neuroradiology</subject><subject>Pain</subject><subject>Prevalence</subject><subject>Proton density (concentration)</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Sex ratio</subject><subject>Subgroups</subject><subject>Ultrasound</subject><subject>Wrist</subject><subject>Wrist - diagnostic imaging</subject><subject>Wrist Joint - diagnostic imaging</subject><subject>Young Adult</subject><issn>1432-1084</issn><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9kU9v1DAQxS1ERUvhC3BAlrhwCR1nEjvhglD5V6kICcHZcmxv1pVjBzsB9dvjZZe29MDJM36_efboEfKMwSsGIM4yACJUUDcVgw5ZhQ_ICWuw3rXNwzv1MXmc8xUA9KwRj8gxdl3LhehPiHsXU1ae_kouL3RUYfQuhtdUexecLoIKhrpJjS6MVMeUrFdLIagLNF9P8xKn0ms6x3k9KIPK1tBSbN24rTbOekM_f714Qo42ymf79HCeku8f3n87_1Rdfvl4cf72stJNzZdKIwPdWo2WaeyN7kB1Co0ZukazQdcbVe5a0w-irRVr254LtC0IzjsugBs8JW_2vvM6TNZoG5akvJxT2SJdy6ic_FcJbivH-FOy4iY4E8Xh5cEhxR-rzYucXNbWexVsXLNE4ByxaXtW0Bf30Ku4plD2k8hq0RTLGgtV7ymdYs7Jbm5-w0DuopT7KGWJUv6JUu6Gnt_d42bkb3YFwD2QixRGm27f_o_tbw54qvw</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Ferreira Branco, David</creator><creator>Botti, Paul</creator><creator>Bouvet, Cindy</creator><creator>Abs, Bilal</creator><creator>Buzzi, Marcello</creator><creator>Beaulieu, Jean Yves</creator><creator>Poletti, Pierre-Alexandre</creator><creator>Bouredoucen, Hicham</creator><creator>Boudabbous, Sana</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</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>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2222-975X</orcidid></search><sort><creationdate>20241201</creationdate><title>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</title><author>Ferreira Branco, David ; Botti, Paul ; Bouvet, Cindy ; Abs, Bilal ; Buzzi, Marcello ; Beaulieu, Jean Yves ; Poletti, Pierre-Alexandre ; Bouredoucen, Hicham ; Boudabbous, Sana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-c310c5ec3e1c39dc80a8a3ddb84c1bc2fadc85d9b752a1559673e5076686706d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anatomy</topic><topic>Classification</topic><topic>Correlation coefficient</topic><topic>Correlation coefficients</topic><topic>Cysts</topic><topic>Diagnostic Radiology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Ganglion Cysts - diagnostic imaging</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Mean</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Musculoskeletal</topic><topic>Neuroradiology</topic><topic>Pain</topic><topic>Prevalence</topic><topic>Proton density (concentration)</topic><topic>Radiology</topic><topic>Reproducibility of Results</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Sex ratio</topic><topic>Subgroups</topic><topic>Ultrasound</topic><topic>Wrist</topic><topic>Wrist - diagnostic imaging</topic><topic>Wrist Joint - diagnostic imaging</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferreira Branco, David</creatorcontrib><creatorcontrib>Botti, Paul</creatorcontrib><creatorcontrib>Bouvet, Cindy</creatorcontrib><creatorcontrib>Abs, Bilal</creatorcontrib><creatorcontrib>Buzzi, Marcello</creatorcontrib><creatorcontrib>Beaulieu, Jean Yves</creatorcontrib><creatorcontrib>Poletti, Pierre-Alexandre</creatorcontrib><creatorcontrib>Bouredoucen, Hicham</creatorcontrib><creatorcontrib>Boudabbous, Sana</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferreira Branco, David</au><au>Botti, Paul</au><au>Bouvet, Cindy</au><au>Abs, Bilal</au><au>Buzzi, Marcello</au><au>Beaulieu, Jean Yves</au><au>Poletti, Pierre-Alexandre</au><au>Bouredoucen, Hicham</au><au>Boudabbous, Sana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>34</volume><issue>12</issue><spage>7856</spage><epage>7863</epage><pages>7856-7863</pages><issn>1432-1084</issn><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
To determine prevalence in the symptomatic population of dorsal mucoid cysts centered on dorsal capsuloscapholunate septum (DCSS) using high-field magnetic resonance imaging (MRI) for anatomoclinical and epidemiological correlations.
Materials and methods
This single-center retrospective study analyzed all 3-Tesla MRIs consecutively performed for painful wrists in 295 patients. Two blinded readers performed measurements. The protocol included T1 spin echo and 3D proton density sequences with fat saturation. Inter-observer reliability was assessed using kappa and intra-class correlation coefficients for cyst detection and volumetry, respectively. Disagreements concerning cyst detection were resolved by a consensus reading. Cyst size, relationship to extrinsic and scapholunate ligaments (SL), continuity of SL, minimum distance to the posterior interosseous nerve (PIN), cyst communication with joint, and anatomical classifications of cysts were analyzed. Correlation tests were performed to assess associations.
Results
Two-hundred ninety-five patients (mean age 39.6 +/− 15.6 (standard deviation), 161 males) were evaluated for detection of dorsal wrist cysts identified in 150/295. In this subgroup, the mean age was 38.7 years (15–75), the sex ratio of 0.6 (59% women), and the median volume cyst of 8.7 mm
3
(0.52–2555). Cyst detection, volume, and major axis measurements showed very high agreement between observers, respectively, 0.89, 0.96, and 0.91. 42 patients had dorsal SL pain. A weak negative correlation was found between distance to PIN and dorsal SL pain (
r
= −0.2415;
p
< 0.05) and a weak positive correlation between Guérini’s classification and dorsal SL pain (
r
= 0.2466;
p
< 0.05).
Conclusion
High-field MRI is the modality of choice for the detection, anatomical, and volumetric assessment of dorsal cysts. Preoperative assessment will be aided by the proposed revised anatomical classification.
Clinical relevance statement
High-field MRI is the modality of choice for the anatomical study of dorsal ganglion cysts. It allows the radiologist to accurately describe the anatomical relationships, size, and visibility of the pedicle, essential information for the surgeon’s preoperative assessment.
Key Points
Dorsal mucoid wrist ganglion is a condition for which prevalence remains to be determined.
High-field MRI is a reproducible imaging modality for the detection and assessment of dorsal wrist cysts.
High-field MRI has a key role in the preoperative management of dorsal mucoid cysts.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38856779</pmid><doi>10.1007/s00330-024-10831-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2222-975X</orcidid><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; Springer Nature - Complete Springer Journals |
subjects | Adolescent Adult Aged Anatomy Classification Correlation coefficient Correlation coefficients Cysts Diagnostic Radiology Epidemiology Female Ganglion Cysts - diagnostic imaging Humans Imaging Internal Medicine Interventional Radiology Magnetic resonance imaging Magnetic Resonance Imaging - methods Male Mean Medical imaging Medicine Medicine & Public Health Middle Aged Musculoskeletal Neuroradiology Pain Prevalence Proton density (concentration) Radiology Reproducibility of Results Retrospective Studies Sensitivity and Specificity Sex ratio Subgroups Ultrasound Wrist Wrist - diagnostic imaging Wrist Joint - diagnostic imaging Young Adult |
title | Dorsal wrist ganglion: clinical and imaging correlation in symptomatic population based on high-field MRI |
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