Journal of Hand Surgery (British and European Volume)

 

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Journal of Hand Surgery (British and European Volume), Vol. 15, No. 2, 233-235 (1990)
DOI: 10.1016/0266-7681(90)90129-R

Articles

Bilateral Arthrography of the Wrist

T. J. HERBERT, R. G. FAITHFULL, D. J. McCANN and J. IRELAND

From the Sydney Hospital Hand Unit, Sydney, Australia

Correspondence: Timothy J. Herbert, F.R.C.S., F.R.A.C.S., Sydney Hospital Hand Unit, Macquarie Street, Sydney, New South Wales 2000, Australia.

In order to determine the true significance of a positive arthrogram in the investigation of wrist pain, a prospective trial was carried out in 60 patients, using the opposite asymptomatic wrist as a control. Of the 46 patients with positive findings in the symptomatic wrist, 34 (74%), had positive arthrograms in the opposite, asymptomatic, wrist. As a result of this, we conclude that a unilateral arthrogram is of little diagnostic value and we recommend the use of the opposite, asymptomatic, wrist as a control.


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