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27.06.2017 | Ultrasound

Quantitative analysis of scapholunate diastasis using stress speckle-tracking sonography: a proof-of-concept and feasibility study

verfasst von: Pedro Augusto Gondim Teixeira, Sammy Badr, Gabriela Hossu, Guillaume Lefebvre, Waled Abou Arab, Alain Blum, Anne Cotten

Erschienen in: European Radiology | Ausgabe 12/2017

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Abstract

Objective

To evaluate the feasibility and potential clinical applicability of speckle-tracking sonography for the dynamic evaluation of the scapholunate diastasis during stress manoeuvres.

Material and methods

Two readers used speckle tracking sonography to evaluate scapholunate diastasis during a clenching fist manoeuver in 30 normal wrists. Scapholunate peak strain, mean scapholunate diastasis and the diastasis variation coefficient were analysed. IRB exemption was granted for this study. Conventional and stress wrist radiographs of 26 patients with and without a scapholunate ligament tear were retrospectively analysed to ascertain the range of variation in scapholunate diastasis.

Results

Speckle-tracking parameters in normal wrists were similar between the two readers (p > 0.2061). The maximal scapholunate peak strain during stress was relatively low (<0.34–0.47 mm). The normal radiographic diastasis amplitude was similar to maximal strain peak values in normal volunteers (0.49 ± 0.51 mm). The radiographic diastasis amplitude in cases of scapholunate ligament tears was 1.48 ± 0.78 mm, which was higher than the 95% confidence interval of the scapholunate gap peak strain.

Conclusion

Speckle-tracking sonography could represent an interesting alternative for stress evaluation of the scapholunate ligament in patients with scapholunate diastasis.

Key points

• Speckle-tracking sonography can assess scapholunate diastasis under stress testing.

• Scapholunate gap shows little variation under stress in healthy volunteers.

• Scapholunate gap measurements are influenced by grip strength.

• Sex and BMI have a significant influence on strain measurements.

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Titel: Quantitative analysis of scapholunate diastasis using stress speckle-tracking sonography: a proof-of-concept and feasibility study
verfasst von: Pedro Augusto Gondim Teixeira
Sammy Badr
Gabriela Hossu
Guillaume Lefebvre
Waled Abou Arab
Alain Blum
Anne Cotten
Publikationsdatum: 27.06.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 12/2017
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-017-4915-8

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Quantitative analysis of scapholunate diastasis using stress speckle-tracking sonography: a proof-of-concept and feasibility study

Abstract

Objective

Material and methods

Results

Conclusion

Key points

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Springer Medizin

Abstract

Objective

Material and methods

Results

Conclusion

Key points

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