Schädel-Höpfner M, Iwinska-Zelder J, Braus T, Böhringer G, Klose K J, Gotzen L
Department of Traumatology and Radiology, University Hospital, Marburg, Germany.
J Hand Surg Br. 2001 Feb;26(1):17-21. doi: 10.1054/jhsb.2000.0450.
In a prospective study 103 patients with clinically or radiologically suspected tears of the scapholunate interosseous ligament were investigated with magnetic resonance imaging (MRI) and wrist arthroscopy. MRI was performed with the conventional technique in 72 cases and after intravenous injection of contrast medium in the remaining 31 patients. The correct diagnosis was made by MRI in 75% of cases and its overall sensitivity and specificity were 63% and 86% respectively. There was no statistical difference in the accuracy of MRI for acute or chronic tears and the use of intravenous contrast medium did not improve its accuracy. In conclusion, MRI is not recommended for the diagnosis of scapholunate ligament injury.
在一项前瞻性研究中，对103例临床或放射学怀疑舟月骨间韧带撕裂的患者进行了磁共振成像（MRI）和腕关节镜检查。72例采用传统技术进行MRI检查，其余31例患者在静脉注射造影剂后进行检查。MRI在75%的病例中做出了正确诊断，其总体敏感性和特异性分别为63%和86%。MRI对急性或慢性撕裂的诊断准确性无统计学差异，静脉注射造影剂并未提高其准确性。总之，不推荐使用MRI诊断舟月韧带损伤。
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