دورية أكاديمية
Peripheral tear of the triangular fibrocartilage complex: diagnostic accuracy of magnetic resonance imaging and diagnostic performance of the primary and secondary signs.
| العنوان: | Peripheral tear of the triangular fibrocartilage complex: diagnostic accuracy of magnetic resonance imaging and diagnostic performance of the primary and secondary signs. |
|---|---|
| المؤلفون: | Hur Y; Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea., Ahn JM; Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea. joongmoahn@gmail.com., Kim HJ; Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea., Jeon Y; Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea., Kang Y; Department of Radiology, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea., Gong HS; Department of Orthopedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 13620, South Korea. |
| المصدر: | Skeletal radiology [Skeletal Radiol] 2024 Jun; Vol. 53 (6), pp. 1153-1163. Date of Electronic Publication: 2023 Dec 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 7701953 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2161 (Electronic) Linking ISSN: 03642348 NLM ISO Abbreviation: Skeletal Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: Berlin, New York, Springer International. |
| مواضيع طبية MeSH: | Joint Diseases* , Lacerations* , Triangular Fibrocartilage*/injuries , Wrist Injuries*/diagnostic imaging , Wrist Injuries*/surgery, Humans ; Arthroscopy/methods ; Magnetic Resonance Imaging/methods ; Retrospective Studies ; Wrist Joint |
| مستخلص: | Objective: This study is to assess the diagnostic performance of magnetic resonance imaging (MRI) findings for type 1B triangular fibrocartilage complex (TFCC) tear of the wrist. Materials and Methods: This study retrospectively enrolled 78 patients to examine the diagnostic performance of preoperative MRI examinations in patients with type 1B TFCC tears. Thirty-nine participants had confirmed type 1B TFCC tear. The control group included 39 patients who were randomly selected from 1157 patients who underwent MRI for wrist pain. Both groups underwent a review of 19 MRI findings by two independent radiologists, and the correlation between each diagnostic finding and type 1B TFCC tear was assessed using the chi-squared test. The 19 MRI findings comprised eight primary signs of abnormalities in the distal or proximal lamina, in conjunction with 11 secondary signs suggestive of abnormalities in the surrounding structures. Results: The TFCC tear group demonstrated a significantly higher incidence of two primary MRI signs, i.e., fiber discontinuity and signal alteration in the distal lamina, as observed by both readers (R1, 74.4% vs. 38.5%, p = 0.003, and 87.2% vs. 43.6%, p < 0.001; R2, 74.4% vs. 35.9%, p = 0.001, and 87.2% vs. 53.8%, p < 0.003, respectively). Reader 2 identified a higher prevalence of two additional primary MRI signs: fiber discontinuity and signal alteration in the proximal lamina (all p < 0.05). None of the 11 secondary MRI signs demonstrated statistically significant associations with type 1B TFCC. Conclusion: MRI manifestations of fiber discontinuity and signal alteration in the distal lamina may provide predictive markers for type 1B TFCC wrist tear. (© 2023. The Author(s), under exclusive licence to International Skeletal Society (ISS).) |
| References: | Davis KW, Blankenbaker DG. Imaging the ligaments and tendons of the wrist. Semin Roentgenol. 2010;45(3):194–217. (PMID: 10.1053/j.ro.2009.12.00520483115) Tse WL, Lau SW, Wong WY, Cheng HS, Chow CS, Ho PC, Hung LK. Arthroscopic reconstruction of triangular fibrocartilage complex (TFCC) with tendon graft for chronic DRUJ instability. Injury. 2013;44(3):386–90. (PMID: 10.1016/j.injury.2013.01.00923337702) Haugstvedt JR, Berger RA, Nakamura T, Neale P, Berglund L, An KN. Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg Am. 2006;31(3):445–51. (PMID: 10.1016/j.jhsa.2005.11.00816516740) Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am. 1989;14(4):594–606. (PMID: 10.1016/0363-5023(89)90174-32666492) Tay SC, Tomita K, Berger RA. The "ulnar fovea sign" for defining ulnar wrist pain: an analysis of sensitivity and specificity. J Hand Surg Am. 2007;32(4):438–44. (PMID: 10.1016/j.jhsa.2007.01.02217398352) Chhabra A, Soldatos T, Thawait GK, Del Grande F, Thakkar RS, Means KR Jr, Carrino JA. Current perspectives on the advantages of 3-T MR imaging of the wrist. Radiographics. 2012;32(3):879–96. (PMID: 10.1148/rg.32311574122582365) Yoshioka H, Burns JE. Magnetic resonance imaging of triangular fibrocartilage. J Magn Reson Imaging. 2012;35(4):764–78. (PMID: 10.1002/jmri.2284022434698) Atzei A, Luchetti R. Foveal TFCC tear classification and treatment. Hand Clin. 2011;27(3):263–72. (PMID: 10.1016/j.hcl.2011.05.01421871349) Haims AH, Schweitzer ME, Morrison WB, Deely D, Lange R, Osterman AL, et al. Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol. 2002;178(2):419–22. (PMID: 10.2214/ajr.178.2.178041911804907) Wolf MB, Kroeber MW, Reiter A, Thomas SB, Hahn P, Horch RE, Unglaub F. Ulnar shortening after TFCC suture repair of Palmer type 1B lesions. Arch Orthop Trauma Surg. 2010;130(3):301–6. (PMID: 10.1007/s00402-008-0719-218795305) Schmitt R, Grunz JP, Langer M. Triangular fibrocartilage complex injuries - limitations of the current classification systems and the proposed new 'CUP' classification. J Hand Surg Eur. 2023;48(1):60–6. (PMID: 10.1177/17531934221121931) Burns JE, Tanaka T, Ueno T, Nakamura T, Yoshioka H. Pitfalls that may mimic injuries of the triangular fibrocartilage and proximal intrinsic wrist ligaments at MR imaging. Radiographics. 2011;31(1):63–78. (PMID: 10.1148/rg.31110511421257933) Ng AWH, Griffith JF, Fung CSY, Lee RKL, Tong CSL, Wong CWY, et al. MR imaging of the traumatic triangular fibrocartilaginous complex tear. Quant Imaging Med Surg. 2017;7(4):443–60. (PMID: 10.21037/qims.2017.07.01289327015594018) van der Post AS, Jens S, Smithuis FF, Obdeijn MC, Oostra RJ, Maas M. The triangular fibrocartilage complex on high-resolution 3 T MRI in healthy adolescents: the thin line between asymptomatic findings and pathology. Skeletal Radiol. 2021;50(11):2195–204. (PMID: 10.1007/s00256-021-03779-8338644848449761) Zlatkin MB, Chao PC, Osterman AL, Schnall MD, Dalinka MK, Kressel HY. Chronic wrist pain: evaluation with high-resolution MR imaging. Radiology. 1989;173(3):723–9. (PMID: 10.1148/radiology.173.3.28137772813777) Cohen A. Comparison of correlated correlations. Stat Med. 1989;8(12):1485–95. (PMID: 10.1002/sim.47800812082616938) Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159–74. (PMID: 10.2307/2529310843571) Palmer AK, Werner FW. The triangular fibrocartilage complex of the wrist--anatomy and function. J Hand Surg Am. 1981;6(2):153–62. (PMID: 10.1016/S0363-5023(81)80170-07229292) Cardenas-Montemayor E, Hartl JF, Wolf MB, Leclere FM, Dreyhaupt J, Hahn P, Unglaub F. Subjective and objective results of arthroscopic debridement of ulnar-sided TFCC (Palmer type 1B) lesions with stable distal radio-ulnar joint. Arch Orthop Trauma Surg. 2013;133(2):287–93. (PMID: 10.1007/s00402-012-1643-z23143290) Estrella EP, Hung LK, Ho PC, Tse WL. Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy. 2007;23(7):729–37. (PMID: 10.1016/j.arthro.2007.01.02617637408) Oneson SR, Scales LM, Timins ME, Erickson SJ, Chamoy L. MR imaging interpretation of the Palmer classification of triangular fibrocartilage complex lesions. Radiographics. 1996;16(1):97–106. (PMID: 10.1148/radiographics.16.1.9710946693) Potter HG, Asnis-Ernberg L, Weiland AJ, Hotchkiss RN, Peterson MG, McCormack RR Jr. The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am. 1997;79(11):1675–84. (PMID: 10.2106/00004623-199711000-000099384427) Lee YH, Choi YR, Kim S, Song HT, Suh JS. 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. Magn Reson Imaging. 2013;31(2):221–6. (PMID: 10.1016/j.mri.2012.06.02422959873) Treiser MD, Crawford K, Iorio ML. TFCC Injuries: meta-analysis and comparison of diagnostic imaging modalities. J Wrist Surg. 2018;7(3):267–72. (PMID: 10.1055/s-0038-1629911299225076005773) Boer BC, Vestering M, Van Raak SM, van Kooten EO, Huis In’t Veld R, Vochteloo A. MR arthrography is slightly more accurate than conventional MRI in detecting TFCC lesions of the wrist. Eur J Orthop Surg Traumatol. 2018;28(8):1549–53. (PMID: 10.1007/s00590-018-2215-x297006136244851) DaSilva MF, Goodman AD, Gil JA, Akelman E. Evaluation of ulnar-sided wrist pain. J Am Acad Orthop Surg. 2017;25(8):e150–6. (PMID: 10.5435/JAAOS-D-16-0040728737618) von Borstel D, Wang M, Small K, Nozaki T, Yoshioka H. High-resolution 3T MR imaging of the Triangular fibrocartilage complex. Magn Reson Med Sci. 2017;16(1):3–15. (PMID: 10.2463/mrms.rev.2016-0011) Lenk S, Ludescher B, Martirosan P, Schick F, Claussen CD, Schlemmer HP. 3.0 T high-resolution MR imaging of carpal ligaments and TFCC. Rofo. 2004;176(5):664–7. (PMID: 10.1055/s-2004-81311215122464) Jawed A, Ansari MT, Gupta V. TFCC injuries: how we treat? J Clin Orthop Trauma. 2020;11(4):570–9. (PMID: 10.1016/j.jcot.2020.06.001327421227384326) Omar NN, Mahmoud MK, Saleh WR, Almallah HG, Qenawy OK, Mourad AF, Abdul Monem ES. MR arthrography versus conventional MRI and diagnostic arthroscope in patients with chronic wrist pain. Eur J Radiol Open. 2019;6:265–74. (PMID: 10.1016/j.ejro.2019.06.003313723706657234) Lim W, Saifuddin A. Review article: the differential diagnosis of bone marrow edema on wrist MRI. Skeletal Radiol. 2019;48(10):1525–39. (PMID: 10.1007/s00256-019-03204-130903260) Hayter CL, Gold SL, Potter HG. Magnetic resonance imaging of the wrist: bone and cartilage injury. J Magn Reson Imaging. 2013;37(5):1005–19. (PMID: 10.1002/jmri.2384523606139) Wysocki RW, Richard MJ, Crowe MM, Leversedge FJ, Ruch DS. Arthroscopic treatment of peripheral triangular fibrocartilage complex tears with the deep fibers intact. J Hand Surg Am. 2012;37(3):509–16. (PMID: 10.1016/j.jhsa.2011.12.02322305741) |
| فهرسة مساهمة: | Keywords: Magnetic resonance imaging; Tear; Triangular fibrocartilage complex (TFCC); Wrist injuries |
| تواريخ الأحداث: | Date Created: 20231221 Date Completed: 20240410 Latest Revision: 20240429 |
| رمز التحديث: | 20240429 |
| DOI: | 10.1007/s00256-023-04517-y |
| PMID: | 38127153 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-2161 |
|---|---|
| DOI: | 10.1007/s00256-023-04517-y |