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01.12.2015 | Review Article

Advanced imaging of the scapholunate ligamentous complex

verfasst von: Maryam Shahabpour, Barbara Staelens, Luc Van Overstraeten, Michel De Maeseneer, Cedric Boulet, Johan De Mey, Thierry Scheerlinck

Erschienen in: Skeletal Radiology | Ausgabe 12/2015

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Abstract

The scapholunate joint is one of the most involved in wrist injuries. Its stability depends on primary and secondary stabilisers forming together the scapholunate complex. This ligamentous complex is often evaluated by wrist arthroscopy. To avoid surgery as diagnostic procedure, optimization of MR imaging parameters as use of three-dimensional (3D) sequences with very thin slices and high spatial resolution, is needed to detect lesions of the intrinsic and extrinsic ligaments of the scapholunate complex. The paper reviews the literature on imaging of radial-sided carpal ligaments with advanced computed tomographic arthrography (CTA) and magnetic resonance arthrography (MRA) to evaluate the scapholunate complex. Anatomy and pathology of the ligamentous complex are described and illustrated with CTA, MRA and corresponding arthroscopy. Sprains, mid-substance tears, avulsions and fibrous infiltrations of carpal ligaments could be identified on CTA and MRA images using 3D fat-saturated PD and 3D DESS (dual echo with steady-state precession) sequences with 0.5-mm-thick slices. Imaging signs of scapholunate complex pathology include: discontinuity, nonvisualization, changes in signal intensity, contrast extravasation (MRA), contour irregularity and waviness and periligamentous infiltration by edema, granulation tissue or fibrosis. Based on this preliminary experience, we believe that 3 T MRA using 3D sequences with 0.5-mm-thick slices and multiplanar reconstructions is capable to evaluate the scapholunate complex and could help to reduce the number of diagnostic arthroscopies.

Manuel J, Moran SL. The diagnosis and treatment of scapholunate instability. Orthop Clin N Am. 2007;38(2):261–77.CrossRef

Kuo CE, Wolfe SW. Scapholunate instability: current concepts in diagnosis and management. J Hand Surg [Am]. 2008;33(6):998–1013.CrossRef

Slutsky D. Current innovations in wrist arthroscopy. J Hand Surg [Am]. 2012;37(9):1932–41.CrossRef

Short WH, Werner FW, Green JK, Masaoka S. Biomechanical evaluation of ligamentous stabilizers of the scaphoid and lunate. J Hand Surg [Am]. 2002;27(6):991–1002.CrossRef

Short WH, Werner FW, Green JK, Sutton LG, Brutus JP. Biomechanical evaluation of the ligamentous stabilizers of the scaphoid and lunate: part III. J Hand Surg [Am]. 2007;32(3):297–309.CrossRef

Cambon Binder A, Kerfant M, Wahegaonkar AL, Tandara A, Mathoulin A. Dorsal wrist capsular tears in association with scapholunate instability: results of an arthroscopic dorsal capsuloplasty. J Wrist Surg. 2013;2:160–7.CrossRef

Viegas SF, Yamaguchi S, Boyd NL, Patterson RM. The dorsal ligaments of the wrist: anatomy, mechanical properties and function. J Hand Surg Am. 1999;24(3):456–68.CrossRefPubMed

Van Overstraeten L, Camus EJ, Wahegaonkar A, et al. Anatomical description of the dorsal capsulo-scapholunate septum (DCSS)-arthroscopic staging of scapholunate instability after DCSS sectioning. J Wrist Surg. 2013;2(2):149–54.PubMedCentralCrossRefPubMed

Mayfield JK. Patterns of injury to carpal ligaments: a spectrum. Clin Orthop Relat Res. 1984;187:36–42.PubMed

10.

Messina J, Van Overstraeten L, Luchetti R, Fairplay T, Mathoulin L. The EWAS classification of scapholunate tears: an anatomical arthroscopic study. J Wrist Surg. 2013;2:105–9.PubMedCentralCrossRefPubMed

11.

Linscheid RL, Dobyns JH, Beabout JW, Bryan RS. Traumatic instability of the wrist: diagnosis, classification, and pathomechanics. J Bone Joint Surg Am. 1972;54(8):1612–32.PubMed

12.

Garcia-Elias M, Berger RA, Hori E, et al. Definition of carpal instability: anatomy and biomechanics committee of the international federation of societies for surgery of the hand. J Hand Surg [Am]. 1999;24(4):866–7.CrossRef

13.

Cerezal L, de Dios B-MJ, Canga A, et al. MR and CT arthrography of the wrist. Semin Musculoskelet Radiol. 2012;16(1):27–41.CrossRefPubMed

14.

Schmitt R, Froehner S, Coblenz G, Christopoulos G. Carpal instability. Eur Radiol. 2006;16(10):2161–78.CrossRefPubMed

15.

Watson HK, Weinzweig J, Zeppieri J. The natural progression of scaphoid instability. Hand Clin. 1997;1997(13):39–49.

16.

Haisman JM, Bush M, Wolffe S. Wrist arthroscopy: standard portals and arthroscopic anatomy. J Am Soc Surg Hand. 2005;5(3):175–81.CrossRef

17.

Shin A. Arthroscopic anatomy of the wrist. In: Cooney WP, editor. The wrist. 2nd ed. Philadelphia: LWW; 2010. p. 253–70.

18.

Geissler WB, Freeland AE, Savoie FH, McIntyre LW, Whipple TL. Intracarpal soft-tissue lesions associated with an intra-articular fracture of the distal end of the radius. J Bone Joint Surg Am. 1996;78(3):357–65.PubMed

19.

Geissler WB. Arthroscopic management of scapholunate instability. J Wrist Surg. 2013;2:129–35.PubMedCentralCrossRefPubMed

20.

Messina JC, Dreant N, Luchetti R, Lindau T, Mathoulin C. Scapholunate tears: a new arthroscopic classification. Chir Main. 2009;28(6):339–44.CrossRef

21.

Moser T, Khoury V, Harris PG, Bureau NJ, Cardinal E, Dosch JC. MDCT arthrography or MR arthrography for imaging the wrist joint? Semin Musculoskelet Radiol. 2009;13(1):39–54.CrossRefPubMed

22.

De Smet L. Pitfalls in wrist arthroscopy. Acta Orthop Belg. 2002;68(4):325–9.PubMed

23.

Zanetti M, Gilula LA, Jacob HA, Hodler J. Palmar tilt of the distal radius: influence of off-lateral projection initial observations. Radiology. 2001;220(3):594–600.CrossRefPubMed

24.

Khoury V, Harris PG, Cardinal E. Cross-sectional imaging of internal derangement of the wrist with arthroscopic correlation. Semin Musculoskelet Radiol. 2007;11(1):36–47.CrossRefPubMed

25.

Gilula LA. Carpal injuries: analytic approach and case exercises. Am J Roentgenol. 1979;133(3):503–17.CrossRef

26.

Linn MR, Mann FA, Gilula LA. Imaging the symptomatic wrist. Orthop Clin N Am. 1990;21(3):515–43.

27.

Gelberman RH, Cooney 3rd WP, Szabo RM. Carpal instability. Instr Course Lect. 2001;50:123–34.PubMed

28.

Tanaka T, Ogino S, Yoshioka H. Ligamentous injuries of the wrist. Semin Musculoskelet Radiol. 2008;12(4):359–77.CrossRefPubMed

29.

Manaster BJ. Digital wrist arthrography: precision in determining the site of radiocarpal-midcarpal communication. Am J Roentgenol. 1986;147(3):563–6.CrossRef

30.

Moser T, Dosch JC, Moussaoui A, Buy X, Gangi A, Dietemann JL. Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 2008;28(3):787–800.CrossRefPubMed

31.

Bille B, Harley B, Cohen H. A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg [Am]. 2007;32(6):834–41.CrossRef

32.

Lee RK, Ng AW, Tong CS, et al. Intrinsic ligament and triangular fibrocartilage complex tears of the wrist: comparison of MDCT arthrography, conventional 3-T MRI, and MR arthrography. Skelet Radiol. 2013;42(9):1277–85.CrossRef

33.

Koskinen SK, Haapamäki VV, Salo J, et al. CT arthrography of the wrist using a novel, mobile, dedicated extremity cone-beam CT (CBCT). Skelet Radiol. 2013;42(5):649–57.CrossRef

34.

Totterman SM, Miller R, Wasserman B, Blebea JS, Rubens DJ. Intrinsic and extrinsic carpal ligaments: evaluation by three-dimensional Fourier transform MR imaging. Am J Roentgenol. 1993;160(1):117–23.CrossRef

35.

Shahabpour M, De Maeseneer M, Pouders C, et al. MR imaging of normal extrinsic wrist ligaments using thin slices with clinical and surgical correlation. Eur J Radiol. 2011;77(2):196–201.CrossRefPubMed

36.

Shahabpour M, Van Overstraeten L, Ceuterick P, De Maeseneer M, et al. Pathology of extrinsic ligaments: a pictorial essay. Semin Musculoskelet Radiol. 2012;16(2):115–28.CrossRefPubMed

37.

Jung JY, Yoon YC, Jung JY, Choe BK. Qualitative and quantitative assessment of wrist MRI at 3.0T: comparison between isotropic 3D turbo spin echo and isotropic 3D fast field echo and 2D turbo spin echo. Acta Radiol. 2013;54(3):284–91.CrossRefPubMed

38.

Lenk S, Ludescher B, Martirosan P, et al. 3.0 T high-resolution MR imaging of carpal ligaments and TFCC. RöFo. 2004;176:664–7.PubMed

39.

Spaans A, Van Minnen P, Prins HJ, Korteweg MA, Schuurman A. The value of 3.0-tesla MRI in diagnosing scapholunate ligament injury. J Wrist Surg. 2013;2:69–72.PubMedCentralCrossRefPubMed

40.

Mak WH, Szabo RM, Myo GK. Assessment of volar radiocarpal ligaments: MR arthrographic and arthroscopic correlation. AJR Am J Roentgenol. 2012;198(2):423–7.CrossRefPubMed

41.

Haims AH, Schweitzer ME, Morrison WB, et al. Internal derangement of the wrist: indirect MR arthrography versus unenhanced MR imaging. Radiology. 2003;227(3):701–7.CrossRefPubMed

42.

Moser T, Dosch JC, Moussaoui A, Dietemann JL. Wrist ligament tears: evaluation of MRI and combined MDCT and MR arthrography. AJR Am J Roentgenol. 2007;188(5):1278–86.CrossRefPubMed

43.

Taneja AK, Bredella MA, Chang CY, Joseph Simeone F, Kattapuram SV, Torriani M. Extrinsic wrist ligaments: prevalence of injury by magnetic resonance imaging and association with intrinsic ligament tears. J Comput Assist Tomogr. 2013;37(5):783–9.CrossRefPubMed

44.

Smith DK. MR imaging of normal and injured wrist ligaments. Magn Reson Imaging Clin N Am. 1995;3:229–48.PubMed

45.

Feipel V. Anatomy of the carpal ligaments. In: Camus E, Van Overstraeten L, editors. Carpal ligament surgery, before arthritis. Paris: Springer; 2013. p. 3–18.CrossRef

46.

Chhabra A, Soldatos T, Thawait GK, et al. Current perspectives on the advantages of 3-T MR imaging of the wrist. Radiographics. 2012;32(3):879–96.CrossRefPubMed

47.

Lee RK, Griffith JF, Ng AW, Wong CW. Imaging of radial wrist pain, I: imaging modalities and anatomy. Skelet Radiol. 2014;43(6):713–24.CrossRef

48.

Totterman SM, Miller RJ. Scapholunate ligament: normal MR appearance on three-dimensional gradient-recalled-echo images. Radiology. 1996;200(1):237–41.CrossRefPubMed

49.

Burns JE, Tanaka T, Ueno T, Nakamura T, Yoshioka H. Pitfalls that may mimic injuries of the triangular fibrocartilage and proximal intrinsic wrist ligaments at MR imaging. Radiographics. 2011;31(1):63–78.CrossRefPubMed

50.

Sennwald GR, Zdravkovic V, Oberlin C. The anatomy of the palmar scaphotriquetral ligament. J Hand Surg (Br). 1994;76:147–9.

51.

Theumann NH, Pfirrmann CW, Antonio GE, et al. Extrinsic carpal ligaments: normal MR arthrographic appearance in cadavers. Radiology. 2003;226(1):171–9.CrossRefPubMed

52.

Camus E. Carpal biomechanics: application to ligamentous injuries. In: Camus E, Van Overstraeten L, editors. Carpal ligament surgery, before arthritis. Paris: Springer; 2013. p. 19–38.CrossRef

53.

Drewniany JJ, Palmer AK, Flatt AE. The scaphotrapezial ligament complex: an anatomic and biomechanical study. J Hand Surg [Am]. 1985;10(4):492–8.CrossRef

54.

Holveck A, Wolfram-Gabel R, Dosch JC, et al. Scaphotrapezial ligament: normal arthro-CT and arthro-MRI appearance with anatomical and clinical correlation. Surg Radiol Anat. 2011;33(6):473–80.CrossRefPubMed

55.

Masquelet AC, Strube F, Nordin JY, et al. The isolated scapho-trapezio-trapezoid ligament injury: diagnosis and surgical treatment in four cases. J Hand Surg (Br). 1993;18:730–5.CrossRef

56.

Brown RR, Fliszar E, Cotten A, Trudell D, Resnick D. Extrinsic and intrinsic ligaments of the wrist: normal and pathologic anatomy at MR arthrography with three-compartment enhancement. Radiographics. 1998;18(3):667–74.CrossRefPubMed

57.

Short WH, Werner FW, Green JK, Masaoka S. Biomechanical evaluation of ligamentous stabilizers of the scaphoid and lunate: part II. J Hand Surg. 2005;30:24–34.CrossRef

58.

Rominger MB, Bernreuter WK, Kenney PJ, Lee DH. MR imaging of anatomy and tears of wrist ligaments. Radiographics. 1993;13(6):1233–46.CrossRefPubMed

59.

Taleisnik J. The ligaments of the wrist. J Hand Surg [Am]. 1976;1(2):110–8.CrossRef

60.

Roulot E. In: LeViet D, Rodineau J, Drapé JL, Tavernier T, Railhac JJ, Godefroy D, editors. Arthroscopie du poignet: intérêt diagnostique et thérapeutique dans imagerie du poignet et de la main. Paris: Sauramps Médical; 2001.

61.

Reicher MA. Normal wrist anatomy, biomechanics, basic imaging protocol, and normal multiplanar MRI of the wrist. In: Reicher MA, editor. MRI of the wrist and hand. New York: Raven; 1990. p. 17–48.

62.

Berger RA. The anatomy of the ligaments of the wrist and distal radioulnar joints. Clin Orthop Relat Res. 2001;383:32–40.CrossRefPubMed

63.

Berger RA, Landsmeer JMF. The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints. J Hand Surg [Am]. 1990;15(6):847–54.CrossRef

64.

Zlatkin MB, Chao PC, Osterman AL, Schnall MD, Dalinka MK, Kressel HY. Chronic wrist pain: evaluation with high resolution MR imaging. Radiology. 1989;173:723–9.CrossRefPubMed

Titel: Advanced imaging of the scapholunate ligamentous complex
verfasst von: Maryam Shahabpour
Barbara Staelens
Luc Van Overstraeten
Michel De Maeseneer
Cedric Boulet
Johan De Mey
Thierry Scheerlinck
Publikationsdatum: 01.12.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 12/2015
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-015-2182-9

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