2021
DOI: 10.1007/s00330-021-08073-8
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Interdisciplinary consensus statements on imaging of scapholunate joint instability

Abstract: Objectives The purpose of this agreement was to establish evidence-based consensus statements on imaging of scapholunate joint (SLJ) instability by an expert group using the Delphi technique. Methods Nineteen hand surgeons developed a preliminary list of questions on SLJ instability. Radiologists created statements based on the literature and the authors’ clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delph… Show more

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Cited by 29 publications
(17 citation statements)
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References 44 publications
(69 reference statements)
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“…Of all the diagnostic parameters described only variable linked to patient outcome is the dorsal scaphoid translation (DST) [35]. Dynamic MRI and dynamic CT have created a lot of research interest in recent years; however, the place of these investigations in the diagnosis of SLI is not established due to limited availability and different study protocols used in the different centres [29].…”
Section: Diagnosismentioning
confidence: 99%
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“…Of all the diagnostic parameters described only variable linked to patient outcome is the dorsal scaphoid translation (DST) [35]. Dynamic MRI and dynamic CT have created a lot of research interest in recent years; however, the place of these investigations in the diagnosis of SLI is not established due to limited availability and different study protocols used in the different centres [29].…”
Section: Diagnosismentioning
confidence: 99%
“…A summary of diagnostic modalities, potential findings, sensitivities and specificities in diagnosing SLI is given in Table 3 . The current preliminary diagnostic workup includes the standard postero-anterior and lateral X-rays [ 29 ] and contralateral wrist radiographs for comparison. The scaphoid flexion, lunate extension, scapholunate diastasis and dorsal scaphoid translation are the common findings that are identifiable using static X-rays [ 5 ](Fig.…”
Section: Diagnosismentioning
confidence: 99%
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“…5,11,12 Timely, accurate identification and treatment of SLIL injuries may preserve wrist kinematics and minimize acute and chronic complications. [13][14][15] SL injury is a spectrum of severity, including predynamic partial tears (Geissler stage I), dynamic instability with complete tears (II), and static instability with complete tears of the SLIL and secondary stabilizers (III). 5,11,16 In predynamic or dynamic instability, standard diagnostic imaging may appear unremarkable.…”
mentioning
confidence: 99%
“…Current clinical guidelines may include acquiring posteroanterior and lateral wrist radiographs followed by radiographic stress views and dynamic fluoroscopy to diagnose dynamic instability. 14,17 Multiple static radiographic views, including the wrist in radial or ulnar deviation, may accentuate SL diastasis in some cases. 6,18 SLIL injury may be undetectable with traditional radiographs.…”
mentioning
confidence: 99%