naa a22 4500 510747442 CHVBK 20180411083051.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11547-013-0949-4 doi (NATIONALLICENCE)springer-10.1007/s11547-013-0949-4 The role of MDCT arthrography in the follow-up of scapholunate stabilisation [Elektronische Daten] [Eugenio Genovese, Emanuela Spanò, Davide Mariani, Irene De Bernardi, Giorgio Pilato, Carlo Fugazzola] Ruolo dell'artrografia-TC nel follow-up della stabilizzazione scafo-lunata Purpose: The aim of this study was to assess outcomes in a group of patients with scapholunate dissociation treated with stabilisation surgery (Brunelli-Stanley) and to compare arthrography with multidetector computed tomography (MDCT) with conventional radiography, the gold standard in the follow-up of wrist surgery. Materials and methods: Twelve patients (13 wrists) underwent surgery for scapholunate dissociation and were followed up with clinical (visual analogue scale, Mayo Wrist Score, Patient-Rated Wrist Evaluation, and Disabilities of the Arm, Shoulder, and Hand) and radiological assessment (conventional radiography and CT arthrography). Conventional radiography was assessed for: the scapholunate gap, scapholunate angle, radiolunate angle, capitate-lunate angle, and carpal height index; the CT arthrography images were also evaluated for: the distance between the dorsal exit hole of the bone tunnel and the proximal scaphoid pole, the thickness and tension of the flexor carpi radialis (FCR) strip, and any signs of joint degeneration. Results: Analysis of the data from conventional radiography and MDCT arthrography demonstrated a significant statistical correlation among the measurements obtained on the radiograms and multiplanar CT reconstructions and the patients' clinical outcome. Conclusions: Our results show that MDCT arthrography has the same value as conventional radiography in the evaluation of standard parameters (scapholunate gap, scapholunate angle, radiolunate angle, capitolunate angle, carpal height index), but in addition provides an accurate delineation of the FCR tendon graft, allowing differentiation of its thickness, direction and degree of tension. Springer-Verlag, 2013 Wrist nationallicence MDCT arthrography nationallicence Carpal instability nationallicence Scapholunate stabilization nationallicence Wrist surgery nationallicence Polso nationallicence Artro-TC nationallicence Instabilità carpale nationallicence Stabilizzazione scafo-lunata nationallicence Chirurgia del polso nationallicence Genovese Eugenio Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut Spanò Emanuela Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut Mariani Davide Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut De Bernardi Irene Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut Pilato Giorgio Department of Orthop and Trauma, Università dell'Insubria, Varese, Italy aut Fugazzola Carlo Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut La radiologia medica Springer-Verlag 118/7(2013-10-01), 1157-1170 0033-8362 118:7<1157 2013 118 11547 https://doi.org/10.1007/s11547-013-0949-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-013-0949-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Genovese Eugenio Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut NATIONALLICENCE 700 1- Spanò Emanuela Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut NATIONALLICENCE 700 1- Mariani Davide Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut NATIONALLICENCE 700 1- De Bernardi Irene Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut NATIONALLICENCE 700 1- Pilato Giorgio Department of Orthop and Trauma, Università dell'Insubria, Varese, Italy aut NATIONALLICENCE 700 1- Fugazzola Carlo Department of Radiology, Università dell'Insubria, Via Guicciardini, 21100, Varese, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer-Verlag 118/7(2013-10-01), 1157-1170 0033-8362 118:7<1157 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer