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Dynamic MRI of the wrist in less than 20 seconds: normal midcarpal motion and reader reliability

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Abstract

Objective

To describe the normal motion pattern at the midcarpal compartment during active radial–ulnar deviation of the wrist using dynamic MRI, and to determine the observer performance for measurements obtained in asymptomatic volunteers.

Methods

Dynamic MRI of 35 wrists in 19 asymptomatic volunteers (age mean 30.4 years, SD 8.6) was performed during active radial–ulnar deviation using a fast gradient-echo pulse sequence with 315 ms temporal resolution (acquisition time, 19 s). Two independent readers measured the transverse translation of the trapezium at the scaphotrapezium joint (STJ) and the capitate-to-triquetrum distance (CTD). Relationships between these measurements and laterality, sex, lunate type, and wrist kinematic pattern were evaluated.

Results

At the STJ, the trapezium moved most in radial deviation, with an overall translation of 2.3 mm between ulnar and radial deviation. Mean CTD measurements were the greatest in ulnar deviation and varied 2.4 mm between ulnar and radial deviation. Mean CTD was greater in men than women in the neutral position (p = 0.019), and in wrists with type II lunate morphology during radial and ulnar deviation (p = 0.001, p = 0.014). There were no significant differences in trapezium translation or CTD with wrist laterality and kinematic pattern. Intraobserver and interobserver correlation coefficients were 0.97 and 0.87 for trapezium translation and 0.84 and 0.67 for CTD.

Conclusion

This study is the first to demonstrate the performance of dynamic MRI to quantify STJ motion and CTD. Dynamic MRI with a short acquisition time may be used as a tool to supplement static MRI in evaluation of the midcarpal compartment.

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Acknowledgements

The authors gratefully acknowledge the assistance of John Brock in assisting with IRB compliance, Julie Ostoich-Prather in assisting with graphic design, in addition to Gerald Sonico, B.S., Costin Tanase, PhD, and Sinyeob Ahn, PhD in assisting with optimizing real-time pulse sequence parameters.

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Author notes

  1. Stephen S. Henrichon and Brent H. Foster contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology, University of California—Davis, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA

    Stephen S. Henrichon, Calvin Shaw, Abhijit J. Chaudhari & Robert D. Boutin

  2. Department of Biomedical Engineering, University of California—Davis, Davis, CA, 95616, USA

    Brent H. Foster

  3. Department of Orthopaedic Surgery, University of California—Davis, Sacramento, CA, 95817, USA

    Christopher O. Bayne & Robert M. Szabo

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  1. Stephen S. Henrichon
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Corresponding author

Correspondence to Robert D. Boutin.

Ethics declarations

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Grant support

National Institutes of Health (K12 HD051958 and R03 EB015099) to Abhijit J. Chaudhari, and National Science Foundation (GRFP Grant No. 1650042) to Brent Foster.

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The authors declare that they have no related conflicts of interest.

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Electronic supplementary material

Video S1.

Video showing dynamic images acquired in the coronal plane at the level of the scaphotrapezium joint. (MP4 276 kb)

Video S2.

Video showing dynamic images acquired in the coronal plane used to measure the capitate-to-triquetrum distance. (MP4 131 kb)

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Henrichon, S.S., Foster, B.H., Shaw, C. et al. Dynamic MRI of the wrist in less than 20 seconds: normal midcarpal motion and reader reliability. Skeletal Radiol 49, 241–248 (2020). https://doi.org/10.1007/s00256-019-03266-1

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  • DOI: https://doi.org/10.1007/s00256-019-03266-1

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