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European Radiology

, Volume 21, Issue 1, pp 176–181 | Cite as

The significance of conventional radiographic parameters in the diagnosis of scapholunate ligament lesions

  • Kai MegerleEmail author
  • S. Pöhlmann
  • O. Kloeters
  • G. Germann
  • M. Sauerbier
Musculoskeletal

Abstract

Objective

Although in widespread clinical use, evidence of the diagnostic accuracy of radiographic parameters for the diagnosis of scapholunate ligament injuries is scarce. The objective of this study was to evaluate the scapholunate (SL) angle, radiolunate (RL) angle and SL gap as diagnostic parameters for these lesions.

Methods

Eight hundred forty nine patients, who underwent wrist arthroscopy at our institution because of wrist pain were included in a retrospective analysis. In all patients the SL angle, RL angle and SL gap were measured on preoperative radiographs. These parameters were correlated with the actual finding of the SL ligament during arthroscopy. Optimal test thresholds were calculated as well as sensitivity, specificity and the likelihood ratios of each parameter.

Results

All three parameters proved useful in statistical analysis. The optimal cut-off points for diagnosing lesions of the SL ligament were calculated as 62.5° for the SL angle, 12.5° for the RL angle and 2.5 mm for the SL gap. SL angles had the greatest specificity (0.93).

Conclusions

We were able to validate plain radiographs as a reliable tool in the work-up of patients with suspected SL ligament injuries. However, wrist arthroscopy remains the gold standard in diagnosing and treating these lesions.

Keywords

Diagnostic x-ray Wrist Scapholunate Ligaments Trauma 

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Copyright information

© European Society of Radiology 2010

Authors and Affiliations

  • Kai Megerle
    • 1
    Email author
  • S. Pöhlmann
    • 1
  • O. Kloeters
    • 1
  • G. Germann
    • 2
  • M. Sauerbier
    • 3
  1. 1.Department of Hand-, Plastic and Reconstructive Surgery—Burn Center -, BG-Trauma Center LudwigshafenPlastic and Hand Surgery of the University of HeidelbergLudwigshafenGermany
  2. 2.Clinic for Plastic, Reconstructive and Aesthetic Surgery and Preventive Medicine at Heidelberg University Hospital, Ethianum HeidelbergLudwigshafenGermany
  3. 3.Department for Plastic, Hand and Reconstructive Surgery, Main-Taunus Private Clinic in Bad SodenAcademic hospital of the University of Frankfurt/MainBaden SodenGermany

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