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Start Over Author "Bierry Guillaume" Journal european radiology
6 results on '"Bierry Guillaume"'

1. Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries

Author

Cerezal, Luis, del Piñal, Francisco, Atzei, Andrea, Schmitt, Rainer, Becce, Fabio, Klich, Maciej, Bień, Maciej, de Jonge, Milko C., Teh, James, Boutin, Robert Downey, Toms, Andoni Paul, Omoumi, Patrick, Fritz, Jan, Bazzocchi, Alberto, Shahabpour, Maryam, Zanetti, Marco, Llopis, Eva, Blum, Alain, Lalam, Radhesh Krishna, Reto, Sutter, Afonso, P. Diana, Mascarenhas, Vasco V., Cotten, Anne, Drapé, Jean-Luc, Bierry, Guillaume, Pracoń, Grzegorz, Dalili, Danoob, Mespreuve, Marc, Garcia-Elias, Marc, Bain, Gregory Ian, Mathoulin, Christophe L., Van Overstraeten, Luc, Szabo, Robert M., Camus, Emmanuel J., Luchetti, Riccardo, Chojnowski, Adrian Julian, Gruenert, Joerg G., Czarnecki, Piotr, Corella, Fernando, Nagy, Ladislav, Yamamoto, Michiro, Golubev, Igor O., van Schoonhoven, Jörg, Goehtz, Florian, Sudoł-Szopińska, Iwona, and Dietrich, Tobias Johannes

Published
2023
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2. Interdisciplinary consensus statements on imaging of scapholunate joint instability

Author

Dietrich, Tobias Johannes, Toms, Andoni Paul, Cerezal, Luis, Omoumi, Patrick, Boutin, Robert Downey, Fritz, Jan, Schmitt, Rainer, Shahabpour, Maryam, Becce, Fabio, Cotten, Anne, Blum, Alain, Zanetti, Marco, Llopis, Eva, Bień, Maciej, Lalam, Radhesh Krishna, Afonso, P Diana, Mascarenhas, Vasco V, Sutter, Reto, Teh, James, Pracoń, Grzegorz, de Jonge, Milko C, Drapé, Jean-Luc, Mespreuve, Marc, Bazzocchi, Alberto, Bierry, Guillaume, Dalili, Danoob, Garcia-Elias, Marc, Atzei, Andrea, Bain, Gregory Ian, Mathoulin, Christophe L, del Piñal, Francisco, Van Overstraeten, Luc, Szabo, Robert M, Camus, Emmanuel J, Luchetti, Riccardo, Chojnowski, Adrian Julian, Grünert, Jörg G, Czarnecki, Piotr, Corella, Fernando, Nagy, Ladislav, Yamamoto, Michiro, Golubev, Igor O, van Schoonhoven, Jörg, Goehtz, Florian, Klich, Maciej, and Sudoł-Szopińska, Iwona

Subjects
Biomedical Imaging, Clinical Research, Bioengineering, 4.2 Evaluation of markers and technologies, Detection, screening and diagnosis, Musculoskeletal, Arthrography, Consensus, Humans, Joint Instability, Ligaments, Articular, Wrist Injuries, Wrist Joint, Wrist injuries, Joint instability, Diagnostic imaging, Guidelines, Surveys and questionnaires, Clinical Sciences, Nuclear Medicine & Medical Imaging
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.

Published
2021

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