Wrist Injuries in Elderly Women is Overlooked when Using X-ray in Comparison to MRI

TY - CONF

T1 - Wrist Injuries in Elderly Women is Overlooked when Using X-ray in Comparison to MRI

AU - Eckmann, Johan Høising

AU - Brix, Lau

AU - Nielsen, Randi

N1 - Conference code: 32

PY - 2015/10/3

Y1 - 2015/10/3

N2 - Introduction:Women aged 50 and above have a reduced bone density which increases the risk ofwrist injuries when exposed to traumas. Diagnosing wrist fractures and strainsof the ligaments is important as a delay may lead to a prolonged healingprocess, permanent pain problems, reduced gripping strength, lower mobility andincreased risk of degenerative joint disease. The standard approach fordiagnosing fractures or injuries of the ligaments is by conventional X-ray. Ifno pathology can be established and there is a suspected scaphoid bone fracturea supplemental MRI of the wrist is performed. The MRI often show pathology inthe wrist which is not visible on X-ray.The purposeof this project was to evaluate how often the supplemental MRI of the wrist wasable to demonstrate pathology which was invisible using standard X-ray.  Subjects& Methods: Forty women were included in the study (mean age ± SD; 63.7 ±9.9). All women had a suspected fracture of the scaphoid bone which could notbe established by X-ray (CANON CXDI - 60C) and were therefore referred to asupplemental MRI (GE Optima 430s 1.5 Tesla MRI system)  Results:  In twenty-five cases the MRI showed pathologywhich was not detectable by X-ray (Fractured radius = 12, fractures carpalbones = 3, bone bruise = 4, fractured scaphoid = 3, other pathology = 3, noappreciable disease = 15). Discussion:The standard strategy for unraveling wrist injuries is by conventional X-ray.This approach is fast, economically feasible and is able to generate diagnosticimages even in patients which cannot hold still for very long due to painrelated issues. However, this study indicate that in those cases in which nopathology can be established, a supplemental MRI can detect issues invisible toX-ray. Furthermore, MRI is also able to demonstrate bone bruises [1] and soft tissue pathologies which is not possible withX-ray . The challenges of using MRI include economical costs and the requirementof no patient movement during the scan. Conclusion:Our data suggests that it may be advantageous to use MRI as a supplement toconventional X-ray in women above 50 years of age with suspected wristfractures. MRI may also prove to be the choice of modality for emergency roomtraumas in the future.  References:Ahn J. M. & El-Khoury G. Y.  Occult fractures of extremities. Radiol ClinNorth Am, 2007; 45: 561-79, ix. 

AB - Introduction:Women aged 50 and above have a reduced bone density which increases the risk ofwrist injuries when exposed to traumas. Diagnosing wrist fractures and strainsof the ligaments is important as a delay may lead to a prolonged healingprocess, permanent pain problems, reduced gripping strength, lower mobility andincreased risk of degenerative joint disease. The standard approach fordiagnosing fractures or injuries of the ligaments is by conventional X-ray. Ifno pathology can be established and there is a suspected scaphoid bone fracturea supplemental MRI of the wrist is performed. The MRI often show pathology inthe wrist which is not visible on X-ray.The purposeof this project was to evaluate how often the supplemental MRI of the wrist wasable to demonstrate pathology which was invisible using standard X-ray.  Subjects& Methods: Forty women were included in the study (mean age ± SD; 63.7 ±9.9). All women had a suspected fracture of the scaphoid bone which could notbe established by X-ray (CANON CXDI - 60C) and were therefore referred to asupplemental MRI (GE Optima 430s 1.5 Tesla MRI system)  Results:  In twenty-five cases the MRI showed pathologywhich was not detectable by X-ray (Fractured radius = 12, fractures carpalbones = 3, bone bruise = 4, fractured scaphoid = 3, other pathology = 3, noappreciable disease = 15). Discussion:The standard strategy for unraveling wrist injuries is by conventional X-ray.This approach is fast, economically feasible and is able to generate diagnosticimages even in patients which cannot hold still for very long due to painrelated issues. However, this study indicate that in those cases in which nopathology can be established, a supplemental MRI can detect issues invisible toX-ray. Furthermore, MRI is also able to demonstrate bone bruises [1] and soft tissue pathologies which is not possible withX-ray . The challenges of using MRI include economical costs and the requirementof no patient movement during the scan. Conclusion:Our data suggests that it may be advantageous to use MRI as a supplement toconventional X-ray in women above 50 years of age with suspected wristfractures. MRI may also prove to be the choice of modality for emergency roomtraumas in the future.  References:Ahn J. M. & El-Khoury G. Y.  Occult fractures of extremities. Radiol ClinNorth Am, 2007; 45: 561-79, ix. 

M3 - Poster

T2 - ESMRMB

Y2 - 1 October 2015 through 3 October 2015

ER -