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MRI diagnosis of carpal boss and comparison with radiography

(2017) ACTA RADIOLOGICA. 58(10). p.1245-1251
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Organization
Abstract
Background: A carpal boss is a potentially painful bony mass in the region of the second or third carpometacarpal joint. The combination of clinical examination and radiography is usually sufficient for the diagnosis. Purpose: To determine whether magnetic resonance imaging (MRI) examination of the quadrangular joint can assist the diagnosis of persistent pain near a carpal boss. Material and Methods: Fifty-seven patients with a carpal boss were retrospectively reviewed using MRI and conventional radiographs and compared to an asymptomatic control group. Results: MRI demonstrated a variable morphology and a variety of bone and soft tissue abnormalities associated with carpal boss. Bone marrow edema around the quadrangular joint shows a significant correlation (Fisher's exact test: P< 0.001) and a positive correlation (Pearson's test r = 0.632, significant at the 0.01 level [two-tailed]) with a painful carpal boss. Conclusion: MRI offers detailed examination of bone and soft tissue abnormalities associated with a carpal boss. Local bone marrow edema strongly correlates with a painful carpal boss.
Keywords
Carpal boss, os styloideum, radiography, magnetic resonance imaging (MRI), CARPOMETACARPAL JOINTS, OS STYLOIDEUM, WRIST, ANATOMY, VARIANT, BONE, HAND

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Citation

Please use this url to cite or link to this publication:

MLA
Mespreuve, Marc et al. “MRI Diagnosis of Carpal Boss and Comparison with Radiography.” ACTA RADIOLOGICA 58.10 (2017): 1245–1251. Print.
APA
Mespreuve, M., De Smet, L., De Cuyper, K., Waked, K., & Vanhoenacker, F. (2017). MRI diagnosis of carpal boss and comparison with radiography. ACTA RADIOLOGICA, 58(10), 1245–1251.
Chicago author-date
Mespreuve, Marc, Luc De Smet, Kristof De Cuyper, Karl Waked, and Filip Vanhoenacker. 2017. “MRI Diagnosis of Carpal Boss and Comparison with Radiography.” Acta Radiologica 58 (10): 1245–1251.
Chicago author-date (all authors)
Mespreuve, Marc, Luc De Smet, Kristof De Cuyper, Karl Waked, and Filip Vanhoenacker. 2017. “MRI Diagnosis of Carpal Boss and Comparison with Radiography.” Acta Radiologica 58 (10): 1245–1251.
Vancouver
1.
Mespreuve M, De Smet L, De Cuyper K, Waked K, Vanhoenacker F. MRI diagnosis of carpal boss and comparison with radiography. ACTA RADIOLOGICA. 2017;58(10):1245–51.
IEEE
[1]
M. Mespreuve, L. De Smet, K. De Cuyper, K. Waked, and F. Vanhoenacker, “MRI diagnosis of carpal boss and comparison with radiography,” ACTA RADIOLOGICA, vol. 58, no. 10, pp. 1245–1251, 2017.
@article{8528498,
  abstract     = {Background: A carpal boss is a potentially painful bony mass in the region of the second or third carpometacarpal joint. The combination of clinical examination and radiography is usually sufficient for the diagnosis. 
Purpose: To determine whether magnetic resonance imaging (MRI) examination of the quadrangular joint can assist the diagnosis of persistent pain near a carpal boss. 
Material and Methods: Fifty-seven patients with a carpal boss were retrospectively reviewed using MRI and conventional radiographs and compared to an asymptomatic control group. 
Results: MRI demonstrated a variable morphology and a variety of bone and soft tissue abnormalities associated with carpal boss. Bone marrow edema around the quadrangular joint shows a significant correlation (Fisher's exact test: P< 0.001) and a positive correlation (Pearson's test r = 0.632, significant at the 0.01 level [two-tailed]) with a painful carpal boss. 
Conclusion: MRI offers detailed examination of bone and soft tissue abnormalities associated with a carpal boss. Local bone marrow edema strongly correlates with a painful carpal boss.},
  author       = {Mespreuve, Marc and De Smet, Luc and De Cuyper, Kristof and Waked, Karl and Vanhoenacker, Filip},
  issn         = {0284-1851},
  journal      = {ACTA RADIOLOGICA},
  keywords     = {Carpal boss,os styloideum,radiography,magnetic resonance imaging (MRI),CARPOMETACARPAL JOINTS,OS STYLOIDEUM,WRIST,ANATOMY,VARIANT,BONE,HAND},
  language     = {eng},
  number       = {10},
  pages        = {1245--1251},
  title        = {MRI diagnosis of carpal boss and comparison with radiography},
  url          = {http://dx.doi.org/10.1177/0284185116685925},
  volume       = {58},
  year         = {2017},
}

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