Three-dimensional CT for the diagnosis and management of bipartite scaphoids: a report of four cases in three patients
| Autor: | Sébastien Durand, Thierry Christen, Fabio Becce, Justine Dufour |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Scaphoid Bone
Wrist Joint medicine.diagnostic_test business.industry Scaphoid nonunion Arthrodesis Computed tomography Wrist Moment of inertia Os centrale 3-D imaging Bipartite scaphoid anatomical variation computed tomography os centrale scaphoid nonunion 3 d imaging Imaging Three-Dimensional Bipartite graph Humans Medicine Surgery Tomography X-Ray Computed business Nuclear medicine Three dimensional ct |
| Zdroj: | The Journal of hand surgery, European volume, vol. 47, no. 3, pp. 264-269 |
| ISSN: | 2043-6289 1753-1934 |
| Popis: | We investigated the role of three-dimensional (3-D) CT in the diagnosis and management of four bipartite scaphoids in three patients. We computed the volume ratio, moment of inertia ratio and direction vector from the centroid of the scaphoid to the os centrale carpi. We found that the os centrale carpi was always smaller than the scaphoid and showed an elongated shape in the scaphoid longitudinal axis. Its position was always posterior compared with the scaphoid anteroposterior axis. The main morphological feature of bipartite scaphoids was the continuity of the scaphoid from its proximal to distal aspect along the longitudinal axis. These criteria from 3-D imaging should be considered useful in the diagnosis of bipartite scaphoid as it allows differentiation from nonunion. 3-D single-photon emission computed tomography (SPECT)/CT was helpful in the surgical decision-making when the patient was symptomatic. 3-D imaging was also used for the preoperative simulation and planning of bone fusion as it simplifies surgery and makes it more accurate. Here we provide clear criteria for diagnosing bipartite scaphoids and for the planning when surgery is deemed necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|