Gantry-free cone-beam CT arthrography for diagnosis of scapholunate ligament injuries: accelerating the preoperative work-up in acute wrist trauma

Question Performing fluoroscopy-guided arthrography and high-resolution cone-beam CT without patient repositioning appears advantageous for the preoperative work-up of distal radius fractures with concomitant scapholunate ligament injuries. Findings Gantry-free cone-beam CT arthrography allowed for short examination times and high diagnostic accuracy for either segment of the scapholunate ligament (89-98% versus surgery). Clinical relevance Preoperative assessment of scapholunate instability influences treatment since surgeons can reduce radius fractures and perform osteosynthesis via a dorsal portal to simultaneously stabilize the scapholunate compartment or use an additional dorsal access route for ligament suture and transfixation.

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Publication Details

Journal
European Radiology
Published
2025-02-01
DOI
https://doi.org/10.1007/s00330-025-11405-7
Citations
2
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
4.01

Funders

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article

Gantry-free cone-beam CT arthrography for diagnosis of scapholunate ligament injuries: accelerating the preoperative work-up in acute wrist trauma

Henner Huflage, Julius F. Heidenreich, Mila M. Paul, Karsten Sebastian Luetkens et al.
2 citations
European Radiology
Orthopedic Surgery and Rehabilitation
4.01
article

Gantry-free cone-beam CT arthrography for diagnosis of scapholunate ligament injuries: accelerating the preoperative work-up in acute wrist trauma

Henner Huflage, Julius F. Heidenreich, Mila M. Paul, Karsten Sebastian Luetkens, Lukáš Müller, Rainer Schmitt, Jan‐Peter Grunz, Andreas Steven Kunz, Thorsten Alexander Bley, Stefanie Hölscher-Doht
article en
2 citations

Abstract

Question Performing fluoroscopy-guided arthrography and high-resolution cone-beam CT without patient repositioning appears advantageous for the preoperative work-up of distal radius fractures with concomitant scapholunate ligament injuries. Findings Gantry-free cone-beam CT arthrography allowed for short examination times and high diagnostic accuracy for either segment of the scapholunate ligament (89-98% versus surgery). Clinical relevance Preoperative assessment of scapholunate instability influences treatment since surgeons can reduce radius fractures and perform osteosynthesis via a dorsal portal to simultaneously stabilize the scapholunate compartment or use an additional dorsal access route for ligament suture and transfixation.

European RadiologyVol. 35(8)
University of Wisconsin–Madison (US), Johannes Gutenberg University Mainz (DE), LMU Klinikum (DE), Universitätsklinikum Würzburg (DE), Ludwig-Maximilians-Universität München (DE)
Interdisziplinäres Zentrum für Klinische Forschung, Universitätsklinikum Würzburg
Good health and well-being
Openalex Percentile: Top 9%
Orthopedic Surgery and Rehabilitation
4.01
DOIOpen Access PDFOpenAlex
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