Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries
Purpose: To evaluate the degree of joint distraction during direct MR arthrography with axial traction in sports injuries. To confirm the effect of axial traction on the quality of wrist opacification. Patients and methods: Seventeen patients (11 male, 6 female) underwent wrist MR arthrography witho...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2016-07-01
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| Series: | Journal of the Belgian Society of Radiology |
| Subjects: | |
| Online Access: | https://www.jbsr.be/articles/918 |
| _version_ | 1828356108346982400 |
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| author | Benjamin Dallaudière Marie-Hélène Moreau-Durieux Ahmed Larbi Anne Perozziello Pascal Huot Philippe Meyer Lionel Pesquer |
| author_facet | Benjamin Dallaudière Marie-Hélène Moreau-Durieux Ahmed Larbi Anne Perozziello Pascal Huot Philippe Meyer Lionel Pesquer |
| author_sort | Benjamin Dallaudière |
| collection | DOAJ |
| description | Purpose: To evaluate the degree of joint distraction during direct MR arthrography with axial traction in sports injuries. To confirm the effect of axial traction on the quality of wrist opacification. Patients and methods: Seventeen patients (11 male, 6 female) underwent wrist MR arthrography without (mean: 39 years (SD 11.6))., and 20 patients (16 male, 4 female) with axial traction (mean: 28 years (SD 7.1)). Subgroups were defined according to pathology: degenerative, ligamentous, traumatic, normal (ie patients without MR-arthrography lesions). Radioscaphoid, radiolunate, lunocapitate, ulna Triangular Fibrocartilage (TFC), scapho-lunate, luno-triquetral, ulnocarpal, Carpo-Metacarpal (CMC) I and III and distal radio-ulnar spaces were measured for all patients. Differences in joint space width were compared between subgroups. Joint space opacification was subjectively scored from 0 (no opacification) to 3 (fully opacified), and compared between the groups with and without traction. Results: The difference in joint space was statistically significant ('p'<0.05) for radioscaphoid, radiolunate, lunocapitate and ulnocarpal spaces, but only in patients with ligamentous tears. Opacification score was significantly higher for ulnocarpal ('p'=0.0275) and CMC III joint spaces ('p'=0.0272) with axial traction. Conclusion: Axial traction resulted in a significantly higher radioscaphoid, radio-lunate, lunocapitate and ulnocarpal joint spaces width. This positive effect of axial traction raises the suspicion of sports ligamentous lesions. |
| first_indexed | 2024-04-14T02:53:43Z |
| format | Article |
| id | doaj.art-76a6f746a6f742158aeba2183afdbb12 |
| institution | Directory Open Access Journal |
| issn | 2514-8281 |
| language | English |
| last_indexed | 2024-04-14T02:53:43Z |
| publishDate | 2016-07-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Journal of the Belgian Society of Radiology |
| spelling | doaj.art-76a6f746a6f742158aeba2183afdbb122022-12-22T02:16:12ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812016-07-01100110.5334/jbr-btr.918945Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports InjuriesBenjamin Dallaudière0Marie-Hélène Moreau-Durieux1Ahmed Larbi2Anne Perozziello3Pascal Huot4Philippe Meyer5Lionel Pesquer6Centre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxCentre Imagerie Ostéo-articulaire, Clinique du Sport de BordeauxPurpose: To evaluate the degree of joint distraction during direct MR arthrography with axial traction in sports injuries. To confirm the effect of axial traction on the quality of wrist opacification. Patients and methods: Seventeen patients (11 male, 6 female) underwent wrist MR arthrography without (mean: 39 years (SD 11.6))., and 20 patients (16 male, 4 female) with axial traction (mean: 28 years (SD 7.1)). Subgroups were defined according to pathology: degenerative, ligamentous, traumatic, normal (ie patients without MR-arthrography lesions). Radioscaphoid, radiolunate, lunocapitate, ulna Triangular Fibrocartilage (TFC), scapho-lunate, luno-triquetral, ulnocarpal, Carpo-Metacarpal (CMC) I and III and distal radio-ulnar spaces were measured for all patients. Differences in joint space width were compared between subgroups. Joint space opacification was subjectively scored from 0 (no opacification) to 3 (fully opacified), and compared between the groups with and without traction. Results: The difference in joint space was statistically significant ('p'<0.05) for radioscaphoid, radiolunate, lunocapitate and ulnocarpal spaces, but only in patients with ligamentous tears. Opacification score was significantly higher for ulnocarpal ('p'=0.0275) and CMC III joint spaces ('p'=0.0272) with axial traction. Conclusion: Axial traction resulted in a significantly higher radioscaphoid, radio-lunate, lunocapitate and ulnocarpal joint spaces width. This positive effect of axial traction raises the suspicion of sports ligamentous lesions.https://www.jbsr.be/articles/918MRItractionwristligamentinjurysports |
| spellingShingle | Benjamin Dallaudière Marie-Hélène Moreau-Durieux Ahmed Larbi Anne Perozziello Pascal Huot Philippe Meyer Lionel Pesquer Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries Journal of the Belgian Society of Radiology MRI traction wrist ligament injury sports |
| title | Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries |
| title_full | Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries |
| title_fullStr | Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries |
| title_full_unstemmed | Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries |
| title_short | Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries |
| title_sort | effects of axial traction during direct mr arthrography of the wrist in sports injuries |
| topic | MRI traction wrist ligament injury sports |
| url | https://www.jbsr.be/articles/918 |
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