Selected Publication:
Grechenig, W; Peicha, G; Fellinger, M; Seibert, FJ; Preidler, KW.
Wrist arthrography after acute trauma to the distal radius: diagnostic accuracy, technique, and sources of diagnostic errors.
Invest Radiol. 1998; 33(5):273-278
Doi: 10.1097/00004424-199805000-00004
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
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Grechenig Wolfgang
- Co-authors Med Uni Graz
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Peicha Gerolf
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Seibert Franz
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- Abstract:
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The objective of this investigation was to determine the diagnostic accuracy of wrist arthrography in the detection of interosseous ligament disruptions and of triangular fibrocartilage complex (TFCC) lesions in patients after acute wrist trauma and to define the sources of diagnostic error of wrist arthrography after recent trauma.
Twenty-two patients with radial fractures after acute wrist trauma underwent arthrography and arthroscopy of the wrist. Arthrography was performed in a standardized manner by two- or three-compartment injection technique. Subsequently wrist arthroscopy was performed within the same session. Image analysis included the evaluation of interosseous carpal ligaments, the TFCC, and the osseous structures.
In 22 patients, 11 injuries of the intrinsic ligaments and the TFCC were diagnosed by arthroscopy, of which 9 had been diagnosed correctly with arthrography before surgery. One scaphoid fracture previously missed on conventional radiographs also could be diagnosed by arthrography.
Arthrography of the posttraumatic wrist is a valuable tool in the diagnostic evaluation of interosseous carpal ligaments and the TFCC.
- Find related publications in this database (using NLM MeSH Indexing)
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Adult -
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Arthrography - methods
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Arthroscopy -
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Cartilage, Articular - diagnostic imaging
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Cartilage, Articular - injuries
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Contrast Media -
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Diagnostic Errors -
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Female -
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Humans -
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Ligaments, Articular - diagnostic imaging
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Ligaments, Articular - injuries
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Male -
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Middle Aged -
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Radius Fractures - diagnostic imaging
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Radius Fractures - therapy
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Wrist Injuries - diagnostic imaging
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Wrist Joint - diagnostic imaging