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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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Chicago
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.
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.
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.
MLA
Mespreuve, Marc, Luc De Smet, Kristof De Cuyper, et al. “MRI Diagnosis of Carpal Boss and Comparison with Radiography.” ACTA RADIOLOGICA 58.10 (2017): 1245–1251. Print.
@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{\textlangle} 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},
  keyword      = {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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