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Semin Musculoskelet Radiol 2021; 25(02): 304-310
DOI: 10.1055/s-0041-1730398
Review Article

Carpal Instability: II. Imaging

Nina Hesse
1   Department of Radiology, LMU, Munich, Germany
,
Rainer Schmitt
1   Department of Radiology, LMU, Munich, Germany
2   Department of Radiology, University Hospital Würzburg, Würzburg, Germany
,
Johanna Luitjens
1   Department of Radiology, LMU, Munich, Germany
,
Jan-Peter Grunz
2   Department of Radiology, University Hospital Würzburg, Würzburg, Germany
,
Elisabeth Maria Haas-Lützenberger
3   Department for Hand, Plastic and Aesthetic Surgery, LMU, Munich, Germany
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Abstract

Beyond clinical examination, the various forms of carpal instability are assessed with radiologic methods and arthroscopy. For this purpose, the imaging demand for spatial and contrast resolution is particularly high because of the small ligamentous structures involved. The entities of carpal instability are classified into degrees of severity. Early (dynamic) forms of instability can either be indirectly detected with X-ray stress views and cineradiography or by direct visualization of ruptured ligaments in high-resolution magnetic resonance (MR) imaging and MR or computed tomography (CT) arthrography, with the latter the standard of reference in imaging. Advanced (static) forms of carpal instability are sufficiently well detected on radiographs; visualization of early carpal osteoarthritis is superior on CT. To prevent disability of the hand, the radiologist has to provide an early and precise diagnosis. This case-based review highlights the imaging procedures suitable for detection and classification of carpal instability.

Keywords

computed tomography arthrography - cineradiography - instability - magnetic resonance imaging - magnetic resonance arthrography

Supplementary Material



Publikationsverlauf

Artikel online veröffentlicht:
09. August 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

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