Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk: Initial experience and correlation with arthrography and magnetic resonance arthrography

Mihra Taljanovic, Joseph E Sheppard, Marci D. Jones, Daniel N. Switlick, Tim B. Hunter, Lee F. Rogers

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30 Citations (Scopus)

Abstract

Objective. The purpose of this study was to determine the utility of sonography and sonoarthrography in evaluation of dorsal bands of the scapholunate ligament (SLL), lunotriquetral ligament (LTL), and triangular fibrocartilage (TFC) disk in correlation with arthrography and magnetic resonance arthrography (MRA). Methods. High-resolution sonography of the SLL, LTL, and TFC disk was performed on symptomatic wrists in 16 patients referred by a hand surgeon for MRA of the symptomatic wrists. All patients then underwent arthrography and an MRA study of the same wrist. After MRA, sonography was repeated. The imaging findings of these different techniques were then compared. Four patients (25%) underwent surgery of their wrists. In these 4 patients, the surgical and imaging findings were correlated. Results. For the SLL, the results were concordant for all imaging modalities in 15 patients (93.75%) and partially concordant in 1 (6.25%). For the LTL, the results were concordant for all imaging modalities in 12 patients (75%), partially concordant in 3 (18.75%), and discordant in 1 (6.25%). For the TFC disk, the results were concordant for all imaging modalities in 13 patients (81.25%), partially concordant in 2 (12.5%), and discordant in 1 (6.25%). The arthroscopic and imaging findings were concordant for 3 SLLs, 3 LTLs, and 3 TFC disks. Conclusions. Our preliminary results are encouraging. Sonography may be used at least as a screening imaging modality in evaluation of the SLL and TFC disk. Sonoarthrography improves evaluation of the LTL.

Original languageEnglish (US)
Pages (from-to)179-191
Number of pages13
JournalJournal of Ultrasound in Medicine
Volume27
Issue number2
StatePublished - Feb 2008

Fingerprint

Triangular Fibrocartilage
Arthrography
ligaments
Ligaments
magnetic resonance
Ultrasonography
Magnetic Resonance Spectroscopy
wrist
Wrist
evaluation
surgeons
surgery
screening
Hand

Keywords

  • Lunotriquetral ligament
  • Schapholunate ligament
  • Sonoarthrography
  • Sonography
  • Triangular fibrocartilage

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Cite this

@article{b8eb1725553c40a795788b3476e27c82,
title = "Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk: Initial experience and correlation with arthrography and magnetic resonance arthrography",
abstract = "Objective. The purpose of this study was to determine the utility of sonography and sonoarthrography in evaluation of dorsal bands of the scapholunate ligament (SLL), lunotriquetral ligament (LTL), and triangular fibrocartilage (TFC) disk in correlation with arthrography and magnetic resonance arthrography (MRA). Methods. High-resolution sonography of the SLL, LTL, and TFC disk was performed on symptomatic wrists in 16 patients referred by a hand surgeon for MRA of the symptomatic wrists. All patients then underwent arthrography and an MRA study of the same wrist. After MRA, sonography was repeated. The imaging findings of these different techniques were then compared. Four patients (25{\%}) underwent surgery of their wrists. In these 4 patients, the surgical and imaging findings were correlated. Results. For the SLL, the results were concordant for all imaging modalities in 15 patients (93.75{\%}) and partially concordant in 1 (6.25{\%}). For the LTL, the results were concordant for all imaging modalities in 12 patients (75{\%}), partially concordant in 3 (18.75{\%}), and discordant in 1 (6.25{\%}). For the TFC disk, the results were concordant for all imaging modalities in 13 patients (81.25{\%}), partially concordant in 2 (12.5{\%}), and discordant in 1 (6.25{\%}). The arthroscopic and imaging findings were concordant for 3 SLLs, 3 LTLs, and 3 TFC disks. Conclusions. Our preliminary results are encouraging. Sonography may be used at least as a screening imaging modality in evaluation of the SLL and TFC disk. Sonoarthrography improves evaluation of the LTL.",
keywords = "Lunotriquetral ligament, Schapholunate ligament, Sonoarthrography, Sonography, Triangular fibrocartilage",
author = "Mihra Taljanovic and Sheppard, {Joseph E} and Jones, {Marci D.} and Switlick, {Daniel N.} and Hunter, {Tim B.} and Rogers, {Lee F.}",
year = "2008",
month = "2",
language = "English (US)",
volume = "27",
pages = "179--191",
journal = "Journal of Ultrasound in Medicine",
issn = "0278-4297",
publisher = "American Institute of Ultrasound in Medicine",
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TY - JOUR

T1 - Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk

T2 - Initial experience and correlation with arthrography and magnetic resonance arthrography

AU - Taljanovic, Mihra

AU - Sheppard, Joseph E

AU - Jones, Marci D.

AU - Switlick, Daniel N.

AU - Hunter, Tim B.

AU - Rogers, Lee F.

PY - 2008/2

Y1 - 2008/2

N2 - Objective. The purpose of this study was to determine the utility of sonography and sonoarthrography in evaluation of dorsal bands of the scapholunate ligament (SLL), lunotriquetral ligament (LTL), and triangular fibrocartilage (TFC) disk in correlation with arthrography and magnetic resonance arthrography (MRA). Methods. High-resolution sonography of the SLL, LTL, and TFC disk was performed on symptomatic wrists in 16 patients referred by a hand surgeon for MRA of the symptomatic wrists. All patients then underwent arthrography and an MRA study of the same wrist. After MRA, sonography was repeated. The imaging findings of these different techniques were then compared. Four patients (25%) underwent surgery of their wrists. In these 4 patients, the surgical and imaging findings were correlated. Results. For the SLL, the results were concordant for all imaging modalities in 15 patients (93.75%) and partially concordant in 1 (6.25%). For the LTL, the results were concordant for all imaging modalities in 12 patients (75%), partially concordant in 3 (18.75%), and discordant in 1 (6.25%). For the TFC disk, the results were concordant for all imaging modalities in 13 patients (81.25%), partially concordant in 2 (12.5%), and discordant in 1 (6.25%). The arthroscopic and imaging findings were concordant for 3 SLLs, 3 LTLs, and 3 TFC disks. Conclusions. Our preliminary results are encouraging. Sonography may be used at least as a screening imaging modality in evaluation of the SLL and TFC disk. Sonoarthrography improves evaluation of the LTL.

AB - Objective. The purpose of this study was to determine the utility of sonography and sonoarthrography in evaluation of dorsal bands of the scapholunate ligament (SLL), lunotriquetral ligament (LTL), and triangular fibrocartilage (TFC) disk in correlation with arthrography and magnetic resonance arthrography (MRA). Methods. High-resolution sonography of the SLL, LTL, and TFC disk was performed on symptomatic wrists in 16 patients referred by a hand surgeon for MRA of the symptomatic wrists. All patients then underwent arthrography and an MRA study of the same wrist. After MRA, sonography was repeated. The imaging findings of these different techniques were then compared. Four patients (25%) underwent surgery of their wrists. In these 4 patients, the surgical and imaging findings were correlated. Results. For the SLL, the results were concordant for all imaging modalities in 15 patients (93.75%) and partially concordant in 1 (6.25%). For the LTL, the results were concordant for all imaging modalities in 12 patients (75%), partially concordant in 3 (18.75%), and discordant in 1 (6.25%). For the TFC disk, the results were concordant for all imaging modalities in 13 patients (81.25%), partially concordant in 2 (12.5%), and discordant in 1 (6.25%). The arthroscopic and imaging findings were concordant for 3 SLLs, 3 LTLs, and 3 TFC disks. Conclusions. Our preliminary results are encouraging. Sonography may be used at least as a screening imaging modality in evaluation of the SLL and TFC disk. Sonoarthrography improves evaluation of the LTL.

KW - Lunotriquetral ligament

KW - Schapholunate ligament

KW - Sonoarthrography

KW - Sonography

KW - Triangular fibrocartilage

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