ArticleEuropean radiology2023
Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries.
Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 30 citations in OpenAlex.
- Interdisciplinary consensus statements on imaging of scaphoid fractures.European radiology · 2026Article
- The triangular fibrocartilage complex (TFCC): updated anatomy, variants, and MRI diagnostic pitfalls.Skeletal radiology · 2026Review
- Beyond Palmer: a topographic classification of non-Palmer triangular fibrocartilage complex injuries.Insights into imaging · 2026Review
- 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-Assisted Repair of the Triangular Fibrocartilage Complex.Journal of hand surgery global online · 2025Review
- Four-dimensional computed tomography-derived distal radioulnar joint osteokinematics during pronosupination with unilateral triangular fibrocartilage complex injuries.Journal of biomechanics · 2025Article
- Diagnostic work-up of lipomatous tumors: a decision-making analysis among European sarcoma centers.Insights into imaging · 2025Article
- Predictors of limited forearm rotation following conservative treatment of distal radius fractures: a retrospective comparative study.BMC musculoskeletal disorders · 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
- Arthroscopic-Assisted Repair of the Triangular Fibrocartilage Complex.Journal of hand surgery global online · 2024Review
- [Osteoarthritis of the wrist].Orthopadie (Heidelberg, Germany) · 2024Review
- Clinical Outcomes and Failure Rate of Triangular Fibrocartilage Complex Foveal Repair Were Comparable between Arthroscopic and Open Techniques.Journal of clinical medicine · 2024Article
- Diagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Hand and wrist - what the hand surgeon wants to know from the radiologist.Polish journal of radiology · 2024Review
Corrections and comments
- Commented on by
Authors and funding
46 authors at 20 institutions in 14 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this agreement was to establish evidence-based consensus statements on imaging of distal radioulnar joint (DRUJ) instability and triangular fibrocartilage complex (TFCC) injuries by an expert group using the Delphi technique.
methodsNineteen hand surgeons developed a preliminary list of questions on DRUJ instability and TFCC injuries. Radiologists created statements based on the literature and the authors' clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delphi panelists consisted of twenty-seven musculoskeletal radiologists. The panelists scored their degree of agreement to each statement on an 11-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 panelists.
resultsThree of fourteen statements achieved group consensus in the first Delphi round and ten statements achieved group consensus in the second Delphi round. The third and final Delphi round was limited to the one question that did not achieve group consensus in the previous rounds.
conclusionsDelphi-based agreements suggest that CT with static axial slices in neutral rotation, pronation, and supination is the most useful and accurate imaging technique for the work-up of DRUJ instability. MRI is the most valuable technique in the diagnosis of TFCC lesions. The main indication for MR arthrography and CT arthrography are Palmer 1B foveal lesions of the TFCC. CLINICAL RELEVANCE STATEMENT: MRI is the method of choice for assessing TFCC lesions, with higher accuracy for central than peripheral abnormalities. The main indication for MR arthrography is the evaluation of TFCC foveal insertion lesions and peripheral non-Palmer injuries. KEY POINTS: • Conventional radiography should be the initial imaging technique in the assessment of DRUJ instability. CT with static axial slices in neutral rotation, pronation, and supination is the most accurate method for evaluating DRUJ instability. • MRI is the most useful technique in diagnosing soft-tissue injuries causing DRUJ instability, especially TFCC lesions. • The main indications for MR arthrography and CT arthrography are foveal lesions of the TFCC.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.