Traumatic scapholunar (SL) dissociation Injury, Occupational Diseases, Poisoning Dislocation, sprain and strain of joints and ligaments at wrist and hand level
Conditions
Interventions
Experimental tests:
Routine radiological imaging procedures (i.e., plain radiographs, cineradiography, arthrography, computed tomography, magnetic resonance arthrography).
Reference standard:
Wrist a
Sponsors
Deutsche Arthrose-Hilfe e.V. (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male and female patients aged 18 to 65 years 2. Considered to require wrist arthroscopy due to: 2.1. Exposure to an injury to the wrist (i.e., hyperextension, contusion, extra-articular radial fractures) suitable to cause SL-tears 2.2. Persistent pain and/or other symptoms for greater than 4 weeks
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Renal insufficiency 3. Known allergy to contrast media 4. Relative or absolute contraindication to MRI scanning 5. Previous operations to the affected wrist 6. Rheumatoid arthritis 7. Open fractures or other conditions deemed to require immediate surgical intervention
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic accuracy (i.e., sensitivity, specificity, areas under the receiving operating characteristics [AUC/ROC]) of all established imaging methods compared to the diagnostic reference standard (i.e., wrist arthroscopy). All outcomes will be assessed by the time of hospital discharge. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cost-effectiveness. All outcomes will be assessed by the time of hospital discharge. | — |
Countries
Germany
Outcome results
None listed