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Computed tomography in partial carpal arthrodesis

J M Soler-Minoves1, J Gonzalez-Ustes, R Pérez

  • 1Department of Orthopaedic Surgery and Traumatology, University Hospital Germans Trias i Pujol, Badalona, Spain.

Journal of Hand Surgery (Edinburgh, Scotland)
|September 30, 1998
PubMed
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Computed tomography (CT) is more effective than X-rays for assessing wrist fusions after surgery. CT accurately identifies united carpal fusions, while X-rays have significant false negative and positive rates.

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Medical Imaging

Background:

  • Intercarpal fusions are surgical procedures to treat wrist instability.
  • Evaluating the success of these fusions, particularly partial arthrodesis, is crucial for patient outcomes.
  • Plain radiography is commonly used but may have limitations in accuracy.

Purpose of the Study:

  • To compare the diagnostic accuracy of computed tomography (CT) versus plain radiography in evaluating the union of surgical intercarpal fusions.
  • To determine the utility of CT in assessing partial carpal arthrodesis.

Main Methods:

  • A retrospective review of 59 wrist imaging studies (X-rays and CT scans) was conducted.
  • Patients included had undergone previous surgical intercarpal fusions.

Related Experiment Videos

  • Axial CT images (1.2 mm thick) were obtained perpendicular to the joint axis.
  • Main Results:

    • Computed tomography (CT) accurately determined the union status of carpal fusions.
    • Plain radiography demonstrated a 25% false negative rate and a 6% false positive rate compared to CT.
    • CT proved superior in identifying successful and unsuccessful fusions.

    Conclusions:

    • Computed tomography (CT) is a more reliable imaging modality than plain radiography for evaluating the union of intercarpal fusions.
    • CT offers improved accuracy for assessing partial carpal arthrodesis, aiding in clinical decision-making.