Keywords:
Trauma, Arthrography, MR, Fluoroscopy, Musculoskeletal joint
Authors:
S. Naqvi1, S. Patel2; 1Leicester/UK, 2DERBY/UK
DOI:
10.1594/essr2017/P-0239
Conclusion
The number of patient’s undergoing arthroscopic assessment has reduced from 28.57% for single injection to 4.75% for those undergoing triple injection arthrogram.
This is an indirect indication of improved clinical agreement and confidence in the Arthrographic findings.
The incidence of diagnosing TFCC tear is higher on the double and triple injection MR arthrograms with 4 out of 26 (15.38%) TFCC tears being undersurface tears on the multiple injection arthrogram.
Single injection arthrogram did however demonstrate 9 TFCC tears but no under surface tear was diagnosed on these studies.
We recommend multiple injection wrist Arthrogram as the preferred examination if the clinical question is TFCC tear.