Stručni rad

https://doi.org/10.20471/acc.2022.61.01.16

Comparative Radiological Diagnostics of Acute Triangular Fibrocartilage Complex Injuries

Roman Pavić orcid.org/0000-0002-9780-2506 ; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; University Hospital of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Petra Margetić orcid.org/0000-0002-8371-1232 ; University Hospital of Traumatology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Mirta Benšić orcid.org/0000-0001-9063-0310 ; Department of Mathematics, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Dijana Hnatešen orcid.org/0000-0001-9036-3232 ; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Osijek University Hospital Center, Osijek, Croatia
Mario Kopljar orcid.org/0000-0002-5870-4436 ; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Karla Margetić ; Zagreb Health Center-Center, Zagreb, Croatia

Sažetak

The aim was to analyze patients with clinical diagnosis of triangular fibrocartilage
complex (TFCC) lesion using standard x-ray, ultrasound, conventional magnetic resonance imaging
(MRI) and MR arthrography (MRA); to evaluate the accuracy of MRA compared with MRI in the
diagnosis of this lesion; and to evaluate ultrasound as a method of diagnosing TFCC lesion. We analyzed
72 patients (46 female and 26 male; age range, 22-61 years; mean age 37 years; 50 right and 22
left wrists) with suspected TFCC lesion with clinical examination, standard x-rays, and ultrasound.
We confirmed patients with traumatic TFCC injury on MRI and MRA. Ultrasound found 13 lesions
in 72 patients with suspected TFCC lesions. Conventional MRI found 66 and MRA 68 TFCC lesions.
Ultrasound is useful for visualizing intra-articular effusion, soft tissue, bone surface, and for early
detection of occult fractures. MRI is a better diagnostic modality, fully able to visualize the TFCC
cartilage and ligaments. MRA is consistently and accurately able to visualize structural abnormalities
of TFCC.

Ključne riječi

Magnetic resonance imaging; Arthrography; Triangular fibrocartilage complex; Diagnostic imaging; Ultrasound

Hrčak ID:

280260

URI

https://hrcak.srce.hr/280260

Datum izdavanja:

1.3.2022.

Podaci na drugim jezicima: hrvatski

Posjeta: 946 *