Catch the shift: Ultrasound diagnosis of scapholunate lesion during Watson test.

Autor: Huber N; Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland; Institute for Biomechanics, ETH Zurich, Zurich, Switzerland. Electronic address: nora.huber@uzh.ch., Götschi T; Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland; Institute for Biomechanics, ETH Zurich, Zurich, Switzerland. Electronic address: tobias.goetschi@balgrist.ch., Schweizer A; Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland; Institute for Biomechanics, ETH Zurich, Zurich, Switzerland. Electronic address: andreas.schweizer@balgrist.ch., Reissner L; Department of Orthopaedics, Balgrist University Hospital, Zurich, Switzerland; Institute for Biomechanics, ETH Zurich, Zurich, Switzerland. Electronic address: lisa.reissner@balgrist.ch.
Jazyk: angličtina
Zdroj: Hand surgery & rehabilitation [Hand Surg Rehabil] 2024 Oct; Vol. 43 (5), pp. 101756. Date of Electronic Publication: 2024 Aug 02.
DOI: 10.1016/j.hansur.2024.101756
Abstrakt: Scapholunate ligament lesion is the most common ligament lesion in the wrist. We assessed the reliability of sonography in detecting it during Watson test. Twenty patients with scapholunate ligament lesion confirmed on MRI and intraoperatively were assessed preoperatively between July 2020 and April 2023. Sonography was performed on the scaphoid dorsal subluxation in wrist neutral and during Watson test and compared with the healthy contralateral side. Dorsal subluxation was measured by two independent investigators and intra- and inter-observer reliability were assessed. We found a significant difference between dorsal subluxation of the scaphoid in the healthy (0.89 mm, SD 0.67 mm) compared to the pathological side (1.67 mm, SD 0.95 mm). Reliability was very good and the standard error of measurement was less than 0.4 mm for all measurements. Sonography during Watson test demonstrated high reliability in diagnosing scapholunate lesions. LEVEL OF EVIDENCE: III.
(Copyright © 2024 SFCM. Published by Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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