Prevalence of Triangular Fibrocartilage Complex Abnormalities on MRI Scans of Asymptomatic Wrists

Iordache, Sorin Daniel; Rowan, Robert L.; Garvin, Gregory J.; Osman, Said; Grewal, Ruby; Faber, Kenneth J.

doi:10.1016/j.jhsa.2011.10.006

Cited by 76 publications

(54 citation statements)

References 25 publications

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“…Previous studies found a correlation between age and abnormalities [10,17] in cadavers [17] and asymptomatic patients [10]. This review also shows that abnormality rate increases in symptomatic patients.…”

Section: Discussionsupporting

confidence: 67%

“…Four studies [10,13,17,26] reported groups per decade rather than individual patient age. Individual patient's age was imputed as an average of the range of each decade, eg, age of patients in the second decade (range, 11-20 years) = 15.5 ((11+20)/2).…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Table 3. Methodologic quality of the included studies Cerofolini et al [6] Cooney [8] Dwek et al [9] Iordache et al [10] Levinsohn and Palmer [13] Mahmood et al [15] Tanaka et al [24] Weiss et al [28] Yamamoto et al [29] Selection (1) Representativeness of the exposed cohort Yamamoto et al [29] Outcome ( …”

Section: Appendixmentioning

confidence: 99%

“…Triangular fibrocartilage complex abnormalities are common in symptomatic [13,22] and asymptomatic wrists [10,12] and in affected and unaffected wrists in the same patient [4,5]. Moreover, triangular fibrocartilage complex abnormalities seem increasingly common with age [10,11,16,25].…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, triangular fibrocartilage complex abnormalities seem increasingly common with age [10,11,16,25]. Signal abnormalities on MRI and pathophysiology identified on wrist arthroscopy tend to be interpreted as ''tears'', but as with lower back pain, wrist pain is common and often difficult to relate to a specific pathophysiology.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of Triangular Fibrocartilage Complex Abnormalities Regardless of Symptoms Rise With Age: Systematic Review and Pooled Analysis

Chan

Teunis

Ring

2014

Clin Orthop Relat Res

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Background Triangular fibrocartilage complex abnormalities seem to be more common with age, but the degree to which this is so, and the degree to which the presence of an abnormality is associated with symptoms, are topics of controversy. Questions/purposes We wished to perform a systematic review to determine the prevalence of triangular fibrocartilage complex abnormalities, and to determine if the prevalence of abnormalities are greater with increasing age. In addition, we stratified age groups based on symptoms. Methods We searched MEDLINE, EMBASE, and the Cochrane Library through August 15, 2013. Studies that reported triangular fibrocartilage complex abnormalities by age were included. Fifteen studies including 977 wrists met our criteria and reported a total of 368 (38%) triangular fibrocartilage complex abnormalities. Eight studies included symptomatic patients; the remainder studied cadavers (six studies) or asymptomatic volunteers (one study). Patients were divided into four age groups (\30, 30-49, 50-69, and 70 years and older) for pooled analysis, comparing the proportions of patients with and without abnormalities between groups using chi-square analysis. We also evaluated the proportions after stratifying each age group by symptoms. Results Overall, the prevalence of triangular fibrocartilage complex abnormalities increased with age, from 27% (80/301) in patients younger than 30 years to 49% (130/ 265) in patients 70 years and older (p \ 0.001), odds ratio (OR), 2.7, 95% CI, 1.9-3.8 (p \ 0.001). In asymptomatic patients, triangular fibrocartilage complex prevalence abnormality increased from 15% (24/159) to 49% (129/ 263) in the same age groups (p \ 0.001), OR, 5.4, 95% CI, 3.3-8.9 (p \ 0.001). For symptomatic patients prevalence ranged from 39% (56/142) to 70% (14/20) in patients between 50 and 69 years old (p\0.034), OR, 3.6, 95% CI, 1.3-9.9 (p \ 0.014). Conclusion Triangular fibrocartilage complex abnormalities are common in symptomatic and asymptomatic wrists, and they are increasingly common with age. As in all situations where abnormalities are so common that they may be incidental, we need (1) a reliable and accurate method for determining whether these abnormalities are the cause of symptoms; and (2) evidence that treatment of these abnormalities improves symptoms better than placebo.

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Section: Discussionsupporting

confidence: 67%