Journal of Hand Surgery (British and European Volume)

 

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Journal of Hand Surgery (British and European Volume), Vol. 26, No. 6, 544-546 (2001)
DOI: 10.1054/jhsb.2001.0645

Articles

A Comparison of the Findings of Wrist Arthroscopy and Magnetic Resonance Imaging in the Investigation of Wrist Pain

J. MORLEY, J. BIDWELL and M. BRANSBY-ZACHARY

From the Department of Orthopaedic Surgery, Southern General Hospital, Glasgow, Scotland, UK

Correspondence: Mr John Morley, T/L 33 Camphill Avenue, Langside, Glasgow G41 3AU, Scotland, UK E-mail: beingjohnmorley{at}yahoo.co.uk

Between 1996 and 1999, 54 patients with wrist pain had magnetic resonance imaging performed using a 1.5 Tesla scanner without a wrist coil. Wrist arthroscopy was performed using a standard technique. The findings were then compared. Magnetic resonance imaging had a low sensitivity for the detection of triangular fibrocartilage complex injuries (0.44) and scapholunate ligament injuries (0.11) when wrist arthroscopy was used as the standard of reference.

We conclude that when a magnetoresonance technique that does not employ a dedicated wrist coil is used, a negative magnetic resonance imaging scan does not exclude these two significant injuries.


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