Interdisciplinary consensus statements on imaging of scapholunate joint instability
| العنوان: | Interdisciplinary consensus statements on imaging of scapholunate joint instability |
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| المؤلفون: | Jean Luc Drapé, Marc Garcia-Elias, Fabio Becce, Grzegorz Pracoń, Danoob Dalili, Marco Zanetti, Piotr Czarnecki, Fernando Corella, Andoni P. Toms, Robert M. Szabo, Florian Goehtz, Luc Van Overstraeten, Luis Cerezal, Jörg van Schoonhoven, Vasco V. Mascarenhas, Christophe L. Mathoulin, Riccardo Luchetti, James Teh, Robert D. Boutin, Igor O. Golubev, Alberto Bazzocchi, Reto Sutter, Patrick Omoumi, Alain Blum, Maryam Shahabpour, Eva Llopis, Adrian Chojnowski, Iwona Sudoł-Szopińska, Michiro Yamamoto, Francisco del Piñal, Tobias J. Dietrich, Radhesh Lalam, Maciej Bień, Marc Mespreuve, Emmanuel J. Camus, Maciej Klich, R. Schmitt, Guillaume Bierry, Andrea Atzei, Ladislav Nagy, Milko C. de Jonge, Gregory I. Bain, P. Diana Afonso, Jan Fritz, Jörg Grünert, Anne Cotten |
| المصدر: | EUROPEAN RADIOLOGY European radiology, vol 31, iss 12 r-FISABIO. Repositorio Institucional de Producción Científica instname European Radiology European radiology, vol. 31, no. 12, pp. 9446-9458 |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Wrist Joint, Radiography, TRIANGULAR FIBROCARTILAGE, Wrist, 030218 nuclear medicine & medical imaging, INTRINSIC CARPAL LIGAMENTS, 0302 clinical medicine, Medicine and Health Sciences, Fluoroscopy, Arthrography, CT ARTHROGRAPHY, 3-T MRI, Neuroradiology, 030222 orthopedics, screening and diagnosis, medicine.diagnostic_test, Wrist injuries, Interventional radiology, CINERADIOGRAPHY, General Medicine, Detection, Nuclear Medicine & Medical Imaging, medicine.anatomical_structure, Ligaments, Articular, Ligament, Biomedical Imaging, Diagnostic imaging, MR ARTHROGRAPHY, Radiology, 4.2 Evaluation of markers and technologies, Joint Instability, medicine.medical_specialty, Consensus, Clinical Sciences, education, Humans, Joint Instability/diagnostic imaging, Ligaments, Articular/diagnostic imaging, Wrist Injuries/diagnostic imaging, Guidelines, Joint instability, Surveys and questionnaires, Bioengineering, 03 medical and health sciences, Clinical Research, medicine, Medical imaging, Radiology, Nuclear Medicine and imaging, Complete Agreement, DIAGNOSTIC-ACCURACY, Ligaments, business.industry, WRIST LIGAMENT, Musculoskeletal, INJURIES, INTEROSSEOUS LIGAMENT TEARS, business, Articular |
| الوصف: | Objectives The purpose of this agreement was to establish evidence-based consensus statements on imaging of scapholunate joint (SLJ) instability by an expert group using the Delphi technique. Methods Nineteen hand surgeons developed a preliminary list of questions on SLJ instability. Radiologists created statements based on the literature and the authors’ clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delphi panellists consisted of twenty-seven musculoskeletal radiologists. The panellists scored their degree of agreement to each statement on an eleven-item numeric scale. Scores of ‘0’, ‘5’ and ‘10’ reflected complete disagreement, indeterminate agreement and complete agreement, respectively. Group consensus was defined as a score of ‘8’ or higher for 80% or more of the panellists. Results Ten of fifteen statements achieved group consensus in the second Delphi round. The remaining five statements achieved group consensus in the third Delphi round. It was agreed that dorsopalmar and lateral radiographs should be acquired as routine imaging work-up in patients with suspected SLJ instability. Radiographic stress views and dynamic fluoroscopy allow accurate diagnosis of dynamic SLJ instability. MR arthrography and CT arthrography are accurate for detecting scapholunate interosseous ligament tears and articular cartilage defects. Ultrasonography and MRI can delineate most extrinsic carpal ligaments, although validated scientific evidence on accurate differentiation between partially or completely torn or incompetent ligaments is not available. Conclusions Delphi-based agreements suggest that standardized radiographs, radiographic stress views, dynamic fluoroscopy, MR arthrography and CT arthrography are the most useful and accurate imaging techniques for the work-up of SLJ instability. Key Points • Dorsopalmar and lateral wrist radiographs remain the basic imaging modality for routine imaging work-up in patients with suspected scapholunate joint instability. • Radiographic stress views and dynamic fluoroscopy of the wrist allow accurate diagnosis of dynamic scapholunate joint instability. • Wrist MR arthrography and CT arthrography are accurate for determination of scapholunate interosseous ligament tears and cartilage defects. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0938-7994 1432-1084 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::165a3c6534f00625fc74c8327e516bef https://biblio.ugent.be/publication/8727876/file/8727882 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....165a3c6534f00625fc74c8327e516bef |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 09387994 14321084 |
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