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Bilal Mahmood¹, Keith Diamond², Omri Ayalon¹

¹Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York.

Journal of wrist surgery

|May 21, 2025

概括

没有对比的传统手腕MRI在检测突炎方面表现不佳. 关节镜术对于识别和治疗这种手腕疼痛源在对保守护理不反应的患者中至关重要.

科学领域:

整形外科整形外科整形外科
放射学放射学是一门学科.
运动医学运动医学

背景情况:

腕部MRI对于软组织损伤,如质囊和TFCC撕裂,是非常准确的.
鼻膜炎可能是持续的手腕疼痛的来源,对保守的治疗没有反应.
磁力共振成像检测手腕突炎的诊断准确性尚未得到充分证实.

研究的目的:

评估常规MRI在检测手腕突炎中的诊断准确性.
为了比较MRI发现的突炎与手术内关节镜观察.
评估MRI在识别突炎作为慢性手腕疼痛的原因中的作用.

主要方法:

对51名因慢性手腕疼痛而接受关节镜检查的患者的回顾性图表审查.
术前MRI发现的比较 (没有对比) 与手术内关节炎的关节镜观察.
磁力共振成像结果的分类为真阳性,假阳性,真阴性或假阴性.

主要成果:

在51名患者中,45名患者的手腕关节镜检查证实了鼻膜炎.
在手术前的MRI检测到51名患者中,只有16名患者出现了鼻膜炎.
核磁共振成像在检测手腕突炎方面具有很高的错误阴性率.

结论:

没有对比的常规MRI显示手腕突炎的诊断准确性很差.
在MRI上未被检测到的膜炎可能会导致持续的手腕疼痛,尽管有其他已确定的病理.
手腕关节镜检查对于在耐火性手腕疼痛病例中识别和治疗突炎至关重要.

关键词:

这就是为什么MRI是MRI.综合性炎症综合性炎症手腕关节镜检查手腕关节镜检查

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