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Archives of Orthopaedic and Trauma Surgery

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01-06-2016 | Handsurgery

Clinical tests and magnetic resonance imaging have limited diagnostic value for triangular fibrocartilaginous complex lesions

Authors: D. Schmauss, S. Pöhlmann, J. A. Lohmeyer, G. Germann, B. Bickert, K. Megerle

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2016

Abstract

Introduction

The diagnostic value of clinical tests and magnetic resonance (MR) imaging for the investigation of triangular fibrocartilaginous complex (TFCC) lesions is not clear due to a lack of clinical data.

Materials and methods

We retrospectively analyzed 908 patients who underwent clinical tests and arthroscopy for suspected TFCC lesions at our institution. Further, MR imaging findings concerning the TFCC were gathered. We correlated clinical tests and MR imaging findings with those obtained during arthroscopy, and we calculated sensitivity, specificity, as well as positive and negative predictive values.

Results

In the whole cohort, the positive predictive values of all clinical tests were low, ranging from 0.53 to 0.55. The ulna grinding test had the highest sensitivity, but lowest specificity. Sensitivity and specificity of the ulnar fovea sign and magnetic resonance imaging were similar, ranging from 0.73 to 0.76, and from 0.41 to 0.44, respectively. To some degree, the diagnostic value seemed to depend on the Palmer class of TFCC lesion.

Conclusions

According to this study, clinical tests and MR imaging findings are of very limited diagnostic value for the diagnosis of TFCC lesions.

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Title: Clinical tests and magnetic resonance imaging have limited diagnostic value for triangular fibrocartilaginous complex lesions
Authors: D. Schmauss
S. Pöhlmann
J. A. Lohmeyer
G. Germann
B. Bickert
K. Megerle
Publication date: 01-06-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-016-2441-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical tests and magnetic resonance imaging have limited diagnostic value for triangular fibrocartilaginous complex lesions

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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