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. 2012 Oct;44(5):310-3.
doi: 10.1055/s-0032-1323799. Epub 2012 Oct 1.

[Quality rating of MRI regarding TFCC lesions in the clinical practice]

[Article in German]
P Hahn  1 , A Häusler, T Bruckner, F Unglaub
Affiliations

[Quality rating of MRI regarding TFCC lesions in the clinical practice]

[Article in German]
P Hahn et al. Handchir Mikrochir Plast Chir. 2012 Oct.

Abstract

Background: MRI diagnostic is used for wrist pain diagnostic frequently. Clinical studies in specialized centers show high sensitivity and specificity concerning TFCC lesions. The aim of this study is a comparison of MRI and arthroscopy regarding TFCC lesions not in a specialized but in a common medical environment.

Patients/material and methods: We retrospectively recorded all patients between January 2004 and April 2012 who went through a wrist arthroscopy and had a preoperative MRI. 401 patients were identified, 218 males and 183 females. The average age was 42.4 (12-84) years. 88 examiners of radiological practices in the region of our hospital reported the MRI results used for this research.

Results: In 334 cases TFCC lesions could be identified during arthroscopy. MRI showed an average sensitivity of 69% and a specificity of 60%. A Palmer classification was reported through MRI in 58 cases. Most frequently, the MRI examiners reported a Palmer 1b lesion. That result could only be verified by arthroscopy in 11 cases.

Conclusion: Although MRI has an acceptable degree of diagnostic test accuracy in controlled clinical studies, we do not recommend the general use of MRI in diagnosis of ulnocarpal wrist pain.

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