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Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist: comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T

Authors
 Young Han Lee  ;  Yun Rak Choi  ;  Sungjun Kim  ;  Ho-Taek Song  ;  Jin-Suck Suh 
Citation
 MAGNETIC RESONANCE IMAGING, Vol.31(2) : 221-226, 2013 
Journal Title
MAGNETIC RESONANCE IMAGING
ISSN
 0730-725X 
Issue Date
2013
MeSH
Adolescent ; Adult ; Arthroscopy/methods ; Cartilage/pathology* ; Contrast Media/pharmacology ; Female ; Fibroblasts/pathology* ; Humans ; Ligaments/pathology* ; Magnetic Resonance Imaging/methods* ; Male ; Middle Aged ; Models, Statistical ; Pain/pathology ; Protons ; Reproducibility of Results ; Sensitivity and Specificity ; Wrist/pathology ; Wrist Injuries/diagnosis ; Wrist Injuries/pathology* ; Wrist Joint/pathology ; Young Adult
Keywords
MR arthrography ; Arthroscopy ; Ligaments ; MR ; Wrist
Abstract
PURPOSE:
The purpose of the study was to validate the diagnostic performance of high-resolution isovolumetric magnetic resonance arthrography (MRA) for intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist as compared to conventional MR imaging (MRI).
MATERIALS AND METHODS:
Forty-eight patients with traumatic TFCC tears at arthroscopy were enrolled. All patients had underwent proton-density- and T2-weighted MRI before arthrography and three-dimensional T1 high-resolution isovolumetric examination (3D-THRIVE) MRA on a 3-T MR. We assessed the presence of scapholunate interosseous ligament (SLIL)/lunotriquetral interosseous ligament (LTIL) or TFCC tears using the arthroscopy as a gold standard.
RESULTS:
Arthroscopy revealed 37 TFCC central tears, 15 TFCC peripheral tears, 20 SLIL tears and 13 LTIL tears. Sensitivities of MRI and MRA were 70.3% and 94.6% for detection of TFCC central tears, 60.0% and 93.3% for detection of TFCC peripheral tears, 65.0% and 85.0% for SLIL tears, and 61.5% and 84.6% for LTIL tears. The specificity of the MRI was 100% for the detection of ligaments and TFCC tears. The specificities of the MRA for detection of TFCC central tears, TFCC peripheral tears, SLIL tears and LTIL tears were 100%, 97%, 96.4% and 100%, respectively.
CONCLUSION:
Isovolumetric 3D-THRIVE wrist MRA provided better results for depiction of intrinsic ligament and TFCC tears than wrist MRI.
Full Text
http://www.sciencedirect.com/science/article/pii/S0730725X12002342
DOI
10.1016/j.mri.2012.06.024
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sungjun(김성준) ORCID logo https://orcid.org/0000-0002-7876-7901
Suh, Jin Suck(서진석) ORCID logo https://orcid.org/0000-0001-9455-9240
Song, Ho Taek(송호택) ORCID logo https://orcid.org/0000-0002-6655-2575
Lee, Young Han(이영한) ORCID logo https://orcid.org/0000-0002-5602-391X
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86696
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