ArticleEuropean radiology2021
Interdisciplinary consensus statements on imaging of scapholunate joint instability.
Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 40 citations in OpenAlex.
- Detection of scapholunate interosseous ligament injury using dynamic computed tomography-derived arthrokinematics: A prospective clinical trial.Medical engineering & physics · 2024Trial
- Interdisciplinary consensus statements on imaging of scaphoid fractures.European radiology · 2026Article
- Comparison of Radiographic and Ultrasound Imaging Techniques for Assessing the Scapholunate Interval in Healthy Individuals.Journal of clinical medicine · 2026Article
- Diagnostic accuracy of wrist MR-arthrography protocol using iodinated contrast agent only in the detection of intrinsic wrist ligament and triangular fibrocartilage complex tears.Skeletal radiology · 2026Article
- Arthroscopic Dorsal Round-Block Capsulo-Ligamentoplasty for Dynamic Scapholunate Instability: An Anatomical Study and Case Series.Journal of wrist surgery · 2025Article
- Gantry-free cone-beam CT arthrography for diagnosis of scapholunate ligament injuries: accelerating the preoperative work-up in acute wrist trauma.European radiology · 2025Article
- Diagnostic work-up of lipomatous tumors: a decision-making analysis among European sarcoma centers.Insights into imaging · 2025Article
- Dynamic CT features of scapholunate instability during the wrist extension to flexion-An in vivo study.Journal of hand and microsurgery · 2024Article
- Overview for developing Delphi-based interdisciplinary consensus statements on imaging: pros and cons.Journal of ultrasonography · 2024Article
- Biomechanical evaluation of the wrist after scaphotrapeziotrapezoid arthrodesis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Measurement of Scapholunate Joint Space Width on Real-Time MRI-A Feasibility Study.Diagnostics (Basel, Switzerland) · 2024Article
- Arthroscopic management of scapholunate complex injuries associated with distal radius fractures.Journal of orthopaedics · 2024Article
- Hand and wrist - what the hand surgeon wants to know from the radiologist.Polish journal of radiology · 2024Review
- Scapholunate ligament injuries: an instructional review for the FRCS examination.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- [Distal radius fracture-tactic and approach].Operative Orthopadie und Traumatologie · 2023Article
- Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries.European radiology · 2023Article
- Evaluation of Scapholunate Injury and Repair with Dynamic (4D) CT: A Preliminary Report of Two Cases.Journal of wrist surgery · 2023Article
- Current Concepts in Scapholunate Instability Without Arthritic Changes.Indian journal of orthopaedics · 2023Review
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Authors and funding
46 authors at 20 institutions in 14 countries.
Funding
Abstract
objectivesThe purpose of this agreement was to establish evidence-based consensus statements on imaging of scapholunate joint (SLJ) instability by an expert group using the Delphi technique.
methodsNineteen hand surgeons developed a preliminary list of questions on SLJ instability. Radiologists created statements based on the literature and the authors' clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delphi panellists consisted of twenty-seven musculoskeletal radiologists. The panellists scored their degree of agreement to each statement on an eleven-item numeric scale. Scores of '0', '5' and '10' reflected complete disagreement, indeterminate agreement and complete agreement, respectively. Group consensus was defined as a score of '8' or higher for 80% or more of the panellists.
resultsTen of fifteen statements achieved group consensus in the second Delphi round. The remaining five statements achieved group consensus in the third Delphi round. It was agreed that dorsopalmar and lateral radiographs should be acquired as routine imaging work-up in patients with suspected SLJ instability. Radiographic stress views and dynamic fluoroscopy allow accurate diagnosis of dynamic SLJ instability. MR arthrography and CT arthrography are accurate for detecting scapholunate interosseous ligament tears and articular cartilage defects. Ultrasonography and MRI can delineate most extrinsic carpal ligaments, although validated scientific evidence on accurate differentiation between partially or completely torn or incompetent ligaments is not available.
conclusionsDelphi-based agreements suggest that standardized radiographs, radiographic stress views, dynamic fluoroscopy, MR arthrography and CT arthrography are the most useful and accurate imaging techniques for the work-up of SLJ instability. KEY POINTS: • Dorsopalmar and lateral wrist radiographs remain the basic imaging modality for routine imaging work-up in patients with suspected scapholunate joint instability. • Radiographic stress views and dynamic fluoroscopy of the wrist allow accurate diagnosis of dynamic scapholunate joint instability. • Wrist MR arthrography and CT arthrography are accurate for determination of scapholunate interosseous ligament tears and cartilage defects.
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