کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4072741 1410888 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Magnetic resonance imaging–based classification for ulnar collateral ligament injuries of the elbow
ترجمه فارسی عنوان
تصویر برداری رزونانس مغناطیسی مبتنی بر طبقه بندی آسیب های رباط عاج النار در آرنج
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

BackgroundMagnetic resonance imaging (MRI) arthrography has been considered the gold standard for imaging ulnar collateral ligament (UCL) injuries. No classification system has been described for UCL tears to help discuss and guide treatment options. We propose that an MRI-based UCL classification system would correlate with valgus laxity and help predict surgical management.MethodsThe MRIs from 240 patients who underwent UCL reconstruction were reviewed and classified according to a system based on severity and location of the UCL injury. Bilateral elbow valgus stress radiographs were used to compare the amount of valgus laxity associated with each grade of UCL injury. Additional data from the imaging review included intraligamentous calcifications, T-sign presence, and a newly described “vacuum sign.”ResultsThe amount of valgus stress opening increased with the classification severity as follows: type I, 0.13 mm; type II, 0.20 mm; type III, 0.63 mm; and type IV, 0.76 mm.ConclusionsWe propose a new classification for UCL injuries based on MRI findings that helps predict valgus laxity, improve communication, and guide treatment for UCL pathology in throwing athletes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 25, Issue 10, October 2016, Pages 1710–1716
نویسندگان
, , , , , ,