An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (Under Process) , 

 ISSN 2394-3211

Impact Factor: 4.897

 ICV - 79.57



*Ezzat Alaa El Din Ali Abden Elsherif, Prof. Dr. Adel Mohamed Elwakeel, Dr. Mohamed Hafez Shaaban and Dr. Rehab Mohamed Habib 


Objectives: To assess role of CT arthrography and MR arthrography in detecting scapholunate ligament, lunotriquetral ligaments and triangular fibrocartilage complex injuries. Background: Wrist trauma is a common problem. Ligament injuries can lead to progressive instability with secondary deterioration of wrist joint. CT and MR arthrography are excellent techniques for determining the localization and extent of pathologic lesions of the triangular fibrocartilage complex and intrinsic carpal ligaments of the wrist. Patients and methods: The study included 30 patients with unilateral painful wrist to do CT and MR arthrography for wrist joint. A contrast mixture formed from MRI contrast agent, saline, iodinated contrast and local anesthesia prepared and injected intra-articular by CT guidance. Comparative CT and MR scanning done. Results of the analysis performed by two principal observers were compared. Concordant findings were accepted as the reference. Four cases with discordant or equivocal findings were reviewed by a third observer. Results: Sensitivities for CT arthrography for the 1st observer was 100% for SLL, LTL and TFCC injuries. For MRA was 100%, 75%, 85% & 100% for complete SLL tears, partial SLL tears of, partial LTL tears & TFCC tears respectively. Sensitivities for 2nd observer was 100% for all injuries by both CT arthrography and MR arthrography. Conclusion: Both CT and MR arthrography have high accuracy and reliable in diagnosis of intrinsic ligaments tears especially complete tears. However, CT arthrography is superior in the diagnosis of partial tears while MR arthrography is superior in diagnosis of early degenerative changes of triangular fibrocartilage.

Keywords: arthrography, magnetic resonance imaging, multidetector computed tomography, wrist joint, wrist Injuries.

[Full Text Article]



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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (Under Process)