الفهرس | Only 14 pages are availabe for public view |
Abstract In summary, the study included 30 patients with unilateral painful wrist referred from the orthopedic surgeons requesting for CT and MR arthrography. 25 cases done with single radiocarpal injection, 4 cases done by double injection (radio carpal and mid carpal) and a single case done by single mid carpal injection. We evaluated MDCT arthrography, and MR arthrography in the diagnosis of tears and TFCC abnormalities of the wrist ligaments in a series of patients. CT and MR arthrography show perfect agreement in diagnosis of abnormalities of wrist ligaments and TFCC especially in the diagnosis of complete tears of the scapholunate and lunotriquetral ligaments. MDCT arthrography, however, is superior in the diagnosis of partial tears of the scapholunate and lunotriquetral ligaments. MR arthrography is superior in diagnosis of early degenerative changes of TFCC. Because of perfect agreement between CT and MR arthrography accuracy and reliability, we propose that examination with one modality is usually diagnostic. |