Rheumatoid arthritis: evaluation of wrist extensor tendons with clinical examination versus MR imaging--a preliminary report
Autor: | J. S. Blebea, M. M. Hooper, Saara M. S. Totterman, Deborah J. Rubens |
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Rok vydání: | 1993 |
Předmět: |
musculoskeletal diseases
Adult Male Wrist Joint medicine.medical_specialty Pannus Physical examination Wrist Arthritis Rheumatoid Tendons medicine Humans Radiology Nuclear Medicine and imaging Aged Tenosynovitis medicine.diagnostic_test Rupture Spontaneous business.industry Magnetic resonance imaging Middle Aged musculoskeletal system medicine.disease Magnetic Resonance Imaging Tendon Surgery Tendon sheath medicine.anatomical_structure Rheumatoid arthritis Female Radiology business |
Zdroj: | Radiology. 187(3) |
ISSN: | 0033-8419 |
Popis: | To determine whether magnetic resonance (MR) imaging can improve assessment of the extensor tendons of the wrist and their propensity to rupture, the dorsal tendons in 23 wrists in 20 patients with rheumatoid arthritis were clinically assessed and then examined with MR imaging. Clinical and MR imaging evaluations were performed blindly and independently. The six extensor tendon compartments were assessed with MR imaging for presence of pannus, synovial effusion, and tendon involvement or rupture. Clinical scores of systemic disease, dorsal tendon sheath swelling, and risk of tendon rupture ranged from 0 to 3 in each category; the overall score was not associated with any MR imaging category. Clinical assessment of enlargement of the dorsal tendon sheath and clinical risk of rupture correlated poorly with findings on MR images. All eight wrists with clinically minimal risk of rupture had pannus, effusions, and tendon involvement on MR images; the findings were similar in the wrists with moderate (grade 2) risk of rupture. MR imaging depicts involvement of the dorsal tendon sheath and dorsal tendons that cannot be assessed with other radiologic or clinical means. |
Databáze: | OpenAIRE |
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