Document Detail

Evaluation of chronic wrist pain by arthrography, arthroscopy, and arthrotomy.
MedLine Citation:
PMID:  8228051     Owner:  NLM     Status:  MEDLINE    
Arthrography and arthroscopy of the wrist were compared as diagnostic tools in the evaluation of chronic wrist pain. Arthroscopy proved to be a more sensitive procedure than arthrography in 20 consecutive patients with confirmed wrist injuries. There was 86% correlation (the exception--one false negative arthroscopic procedure) between arthroscopy and arthrography in eight patients with triangular fibrocartilage tears. Compared with arthroscopy, there were five false negative and five false positive arthrograms when evaluating interosseous scapholunate and lunotriquetral ligament tears. Arthroscopy more readily identified the location and extent of triangular fibrocartilage and the significance of interosseous ligament tears. Wrist arthrotomy confirmed the findings of wrist arthrography and arthroscopy and demonstrated that arthrography is not as accurate in localizing specific wrist injuries. Furthermore, wrist arthroscopy is a more valuable technique in determining the location, size, and extent of ligament injuries within the wrist.
W P Cooney
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  18     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1993-12-03     Completed Date:  1993-12-03     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  815-22     Citation Subset:  IM    
Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905.
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MeSH Terms
Cartilage, Articular / injuries*
Chronic Disease
Ligaments, Articular / injuries*
Middle Aged
Pain / etiology
Predictive Value of Tests
Wrist Injuries / diagnosis*,  epidemiology
Wrist Joint / surgery*

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