Correction to: Role of magnetic resonance imaging on fingers in diagnosis of post-traumatic tendon and ligament injuries

Abdellatif, Hayam Abdelmonsif; Maaly, Mohammed Abd El Aziz; Soltan, Belal Said Hefny Ibrahim; Abduallah, Mohammed Shawky

doi:10.1186/s43055-021-00674-z

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“…[15] The types of tendon injuries, and precise location of the distal end of the ruptured tendon were found to be 100% compatible with the preoperative US and surgical findings. [15] In a study by Abdellatif et al, [22] the MRI results of complete flexor tendon injuries of the hand were compared with surgical results and MRI detected the location of the tendon tear with 100% accuracy in traumatic cases. [22] Bezirgan et al Diagnosis of missed tendon injuries In our study, the false negative reporting rate of US in the flexor region and MRI in the extensor region was significantly high.…”

Section: Discussionmentioning

confidence: 99%

“…[15] In a study by Abdellatif et al, [22] the MRI results of complete flexor tendon injuries of the hand were compared with surgical results and MRI detected the location of the tendon tear with 100% accuracy in traumatic cases. [22] Bezirgan et al Diagnosis of missed tendon injuries In our study, the false negative reporting rate of US in the flexor region and MRI in the extensor region was significantly high. The main reason for false reports is the inability to distinguish between partial and complete injuries with imaging.…”

Section: Discussionmentioning

confidence: 99%

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The diagnostic value of ultrasonography and magnetic resonance imaging in missed hand tendon injuries

Bezirgan

Acar

Erdoğan

et al. 2023

Ulus Travma Acil Cerrahi Derg

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BACKGROUND:Patients with hand tendon injuries may present to the hand surgery clinic in the late stage after being examined in emergency departments. Even if an approximate idea has been obtained in physical examination of these patients, diagnostic imaging is usually requested for reconstructive approach, correct planning of surgical incisions and medicolegal reasons. The primary purpose of this study was to determine the overall accuracy of Ultrasonography (USG) and Magnetic Resonance Imaging (MRI) in patients with late presentation of a tendon injury. METHODS:The surgical findings and imaging reports of 60 patients (32 females, 28 males) who underwent surgical exploration, late secondary tendon repair or reconstruction with a diagnosis of late-presenting tendon injury in our clinic were evaluated. Comparisons were made of 47 preoperative USG images (18-874 days) and 28 MRI (19-717 days) results for 39 extensor and 21 flexor tendon injuries. The imaging reports were interpreted as partial rupture, complete rupture, healed tendon and adhesion formation and these were compared with the surgical reports in terms of accuracy. RESULTS:In extensor tendon injuries, the sensitivity and accuracy values were both 84% for USG and 44% and 47% for MRI, respectively. In flexor tendon injuries, the sensitivity and accuracy values were 100% for MRI and 50% and 53%, respectively, for USG. Of the 4 sensory nerve injuries, 4 were missed on USG and 1 on MRI. The results obtained with USG and MRI in the late-presenting patients in this study were lower than those reported in previous USG and MRI studies in the literature.CONCLUSION: Scar formation with tendon healing causes a change in anatomy, which could prevent accurate evaluation. Therefore, it would be beneficial for surgeons to start evaluating their patients with easily accessible ultrasonography; thus, surgical morbidity should be reduced.

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