Wertigkeit der MRT hinsichtlich TFCC-Läsionen außerhalb klinischer Studien

• Verfasst von: Hahn, Peter [VerfasserIn]
• Verfasst von: Häusler, A. [VerfasserIn]
• Verfasst von: Bruckner, Thomas [VerfasserIn]
• Verfasst von: Unglaub, Frank [VerfasserIn]
• Titel: Wertigkeit der MRT hinsichtlich TFCC-Läsionen außerhalb klinischer Studien
• Paralleltitel: Quality Rating of MRI Regarding TFCC Lesions in the Clinical Practice
• Verf.angabe: P. Hahn, A. Häusler, T. Bruckner, F. Unglaub
• E-Jahr: 2012
• Jahr: 01. Oktober 2012
• Umfang: 4 S.
• Fussnoten: Gesehen am 07.05.2018
• Titel Quelle: Enthalten in: Handchirurgie, Mikrochirurgie, plastische Chirurgie
• Ort Quelle: Stuttgart : Thieme, 1999
• Jahr Quelle: 2012
• Band/Heft Quelle: 44(2012), 05, Seite 310-313
• ISSN Quelle: 1439-3980
• DOI: doi:10.1055/s-0032-1323799
• Datenträger: Online-Ressource
• Sprache: ger
• K10plus-PPN: 157413258X

Abstract

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.