Fluoroscopic and arthrographic evaluation of carpal instability
The efficacy of a diagnostic protocol involving videotape fluoroscopy of carpal motion and radiocarpal arthrography was evaluated in patients with wrist pain unexplained by physical examination and conventional radiographs. Videotape fluoroscopy was performed as the first study in 68 consecutive cases and was positive in 44 (66%). Radiocarpal arthrography was performed after videotape fluoroscopy in 39 of the cases (57%), including the 24 in which videotape fluoroscopy was normal and 15 others in which further information was desired in spite of positive videotape fluoroscopy. The addition of radiocarpal arthrography to videotape fluoroscopy increased the diagnostic yield to 52 (76%) of the 68 cases and excluded significant anatomic or dynamic abnormality in the others. The diagnosis was proven surgically in 25 cases. This protocol was efficacious for ligament tears of the proximal carpal row, triangular fibrocartilage tears, and proximal and midcarpal instability.
- Research Organization:
- Univ. of Michigan Medical School, Ann Arbor
- OSTI ID:
- 5475997
- Report Number(s):
- CONF-860416-
- Journal Information:
- AJR, Am. J. Roentgenol.; (United States), Journal Name: AJR, Am. J. Roentgenol.; (United States) Vol. 144:6; ISSN AAJRD
- Country of Publication:
- United States
- Language:
- English
Similar Records
Capitate-Lunate instability: recognition by manipulation under fluoroscopy
Painful os styloideum: bone scintigraphy in carpe bossu disease
Related Subjects
62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BODY
BODY AREAS
BONE JOINTS
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
FLUOROSCOPY
HANDS
LIMBS
MEDICINE
NUCLEAR MEDICINE
ORGANS
PAIN
PATIENTS
RADIOLOGY
SKELETAL DISEASES
SKELETON
SYMPTOMS