Buchumschlag

Wertigkeit der MRT hinsichtlich TFCC-Läsionen außerhalb klinischer Studien = Quality Rating of MRI Regarding TFCC Lesions in the Clinical Practice

Background: MRI diagnostic is used for wrist pain diagnostic frequently. Clinical studies in specialized centers show high sensitivity and specificity concerning TFCC lesions. The aim of this study is a comparison of MRI and arthroscopy regarding TFCC lesions not in a specialized but in a common medi...

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Bibliographische Detailangaben
Hauptverfasser: Hahn, Peter (VerfasserIn) , Häusler, A. (VerfasserIn) , Bruckner, Thomas (VerfasserIn) , Unglaub, Frank (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Deutsch
Veröffentlicht: 01. Oktober 2012
In: Handchirurgie, Mikrochirurgie, plastische Chirurgie
Year: 2012, Jahrgang: 44, Heft: 05, Pages: 310-313
ISSN:1439-3980
DOI:10.1055/s-0032-1323799
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1055/s-0032-1323799
Verlag, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0032-1323799
Volltext
Verfasserangaben:P. Hahn, A. Häusler, T. Bruckner, F. Unglaub
Beschreibung
Zusammenfassung:Background: MRI diagnostic is used for wrist pain diagnostic frequently. Clinical studies in specialized centers show high sensitivity and specificity concerning TFCC lesions. The aim of this study is a comparison of MRI and arthroscopy regarding TFCC lesions not in a specialized but in a common medical environment. Patients/Material and Methods: We retrospectively recorded all patients between January 2004 and April 2012 who went through a wrist arthroscopy and had a preoperative MRI. 401 patients were identified, 218 males and 183 females. The average age was 42.4 (12-84) years. 88 examiners of radiological practices in the region of our hospital reported the MRI results used for this research. Results: In 334 cases TFCC lesions could be identified during arthroscopy. MRI showed an average sensitivity of 69 % and a specificity of 60 %. A Palmer classification was reported through MRI in 58 cases. Most frequently, the MRI examiners reported a Palmer 1b lesion. That result could only be verified by arthroscopy in 11 cases. Conclusion: Although MRI has an acceptable degree of diagnostic test accuracy in controlled clinical studies, we do not recommend the general use of MRI in diagnosis of ulnocarpal wrist pain.
Beschreibung:Gesehen am 07.05.2018
Beschreibung:Online Resource
ISSN:1439-3980
DOI:10.1055/s-0032-1323799

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