Comparison of MRI and wrist arthroscopy for assessment of wrist cartilage
Comparison of MRI and wrist arthroscopy for assessment of wrist cartilage
复制标题
DOI：
10.1177/1753193408090395
复制
发表时间：
2008-06-01
影响因子：
1.8
通讯作者：
Field, J.
中科院分区：
文献类型：
--
作者：
Mutimer, J.;Green, J.;Field, J.
为了对腕关节炎进行运动保留手术而不是全关节融合，重要的是确定腕关节软骨特定区域的完整性。这通常使用腕关节镜并通过直接观察软骨来进行。20例腕关节疼痛患者在一年内进行了MRI和腕关节镜检查。Kappa分析比较两种软骨评估方法。这两种方法之间只有相当的相关性（K = 0.38）。由于关节镜检查和MRI之间只有相当的相关性，因此不能得出结论，这两种方法在评估腕关节软骨方面是等同的，因此，腕关节镜检查在评估疼痛的退行性腕关节方面仍然发挥着重要作用。
In order to perform motion-preserving procedures for wrist arthritis rather than total joint fusion, it is important to determine the integrity of specific areas of wrist cartilage. This is generally performed using a wrist arthroscope and by directly visualising the cartilage. Twenty patients with wrist pain were investigated over a I-year period with both MRI and wrist arthroscopy. Kappa analysis was used to compare the two methods of cartilage assessment. There is only a fair correlation (K = 0.38) between the two methods. With only a fair correlation between arthroscopy and MRI, it cannot be concluded that the two methods are equivalent for assessing wrist cartilage and, as such, wrist arthroscopy still has an important role to play in the assessment of a painful degenerative wrist.