The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane: A cadaver study

Eric W. Fester, Peter M. Murray, Timothy G. Sanders, John V. Ingari, John Leyendecker, Henry L. Leis

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

The purpose of this study was to examine the efficacy of magnetic resonance imaging (MRI) and ultrasound (US) in determining complete disruptions of the central portion of the forearm interosseous membrane. The midportion of the forearm interosseous ligament was longitudinally incised in 19 fresh-frozen cadaver arms. The specimens were imaged with MRI and US. The MRIs were examined by a hand surgeon, a musculoskeletal radiologist, and a general radiologist, all blinded to the state of the interosseous membrane. The musculoskeletal radiologist and general radiologists read the real-time US images in a consensus fashion. Magnetic resonance imaging showed a 96% accuracy rate, a 100% positive predictive value, a 93% negative predictive value, 93% sensitivity, and 100% specificity. Kappa analysis showed substantial interobserver agreement for MRI. Ultrasound showed a 94% accuracy rate, a 94% positive predictive value, a 100% negative predictive value, 100% sensitivity, and 89% specificity. There was no statistical significance between the accuracy of MRI and US. We conclude that MRI and US imaging should both be considered when forearm interosseous membrane integrity is in question.

Original languageEnglish (US)
Pages (from-to)418-424
Number of pages7
JournalJournal of Hand Surgery
Volume27
Issue number3
DOIs
StatePublished - Jan 1 2002

Fingerprint

Cadaver
Forearm
Magnetic Resonance Imaging
Membranes
Sensitivity and Specificity
Ligaments
Ultrasonography
Arm
Hand
Radiologists

Keywords

  • Essex-Lopresti lesion
  • Forearm interosseous ligament
  • Forearm interosseous membrane
  • Magnetic resonance imaging
  • Ultrasound

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane : A cadaver study. / Fester, Eric W.; Murray, Peter M.; Sanders, Timothy G.; Ingari, John V.; Leyendecker, John; Leis, Henry L.

In: Journal of Hand Surgery, Vol. 27, No. 3, 01.01.2002, p. 418-424.

Research output: Contribution to journalArticle

Fester, Eric W. ; Murray, Peter M. ; Sanders, Timothy G. ; Ingari, John V. ; Leyendecker, John ; Leis, Henry L. / The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane : A cadaver study. In: Journal of Hand Surgery. 2002 ; Vol. 27, No. 3. pp. 418-424.
@article{b16b33668c544b2c9c57857d7c6345e2,
title = "The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane: A cadaver study",
abstract = "The purpose of this study was to examine the efficacy of magnetic resonance imaging (MRI) and ultrasound (US) in determining complete disruptions of the central portion of the forearm interosseous membrane. The midportion of the forearm interosseous ligament was longitudinally incised in 19 fresh-frozen cadaver arms. The specimens were imaged with MRI and US. The MRIs were examined by a hand surgeon, a musculoskeletal radiologist, and a general radiologist, all blinded to the state of the interosseous membrane. The musculoskeletal radiologist and general radiologists read the real-time US images in a consensus fashion. Magnetic resonance imaging showed a 96{\%} accuracy rate, a 100{\%} positive predictive value, a 93{\%} negative predictive value, 93{\%} sensitivity, and 100{\%} specificity. Kappa analysis showed substantial interobserver agreement for MRI. Ultrasound showed a 94{\%} accuracy rate, a 94{\%} positive predictive value, a 100{\%} negative predictive value, 100{\%} sensitivity, and 89{\%} specificity. There was no statistical significance between the accuracy of MRI and US. We conclude that MRI and US imaging should both be considered when forearm interosseous membrane integrity is in question.",
keywords = "Essex-Lopresti lesion, Forearm interosseous ligament, Forearm interosseous membrane, Magnetic resonance imaging, Ultrasound",
author = "Fester, {Eric W.} and Murray, {Peter M.} and Sanders, {Timothy G.} and Ingari, {John V.} and John Leyendecker and Leis, {Henry L.}",
year = "2002",
month = "1",
day = "1",
doi = "10.1053/jhsu.2002.32961",
language = "English (US)",
volume = "27",
pages = "418--424",
journal = "The Hand",
issn = "1753-1934",
publisher = "SAGE Publications Ltd",
number = "3",

}

TY - JOUR

T1 - The efficacy of magnetic resonance imaging and ultrasound in detecting disruptions of the forearm interosseous membrane

T2 - A cadaver study

AU - Fester, Eric W.

AU - Murray, Peter M.

AU - Sanders, Timothy G.

AU - Ingari, John V.

AU - Leyendecker, John

AU - Leis, Henry L.

PY - 2002/1/1

Y1 - 2002/1/1

N2 - The purpose of this study was to examine the efficacy of magnetic resonance imaging (MRI) and ultrasound (US) in determining complete disruptions of the central portion of the forearm interosseous membrane. The midportion of the forearm interosseous ligament was longitudinally incised in 19 fresh-frozen cadaver arms. The specimens were imaged with MRI and US. The MRIs were examined by a hand surgeon, a musculoskeletal radiologist, and a general radiologist, all blinded to the state of the interosseous membrane. The musculoskeletal radiologist and general radiologists read the real-time US images in a consensus fashion. Magnetic resonance imaging showed a 96% accuracy rate, a 100% positive predictive value, a 93% negative predictive value, 93% sensitivity, and 100% specificity. Kappa analysis showed substantial interobserver agreement for MRI. Ultrasound showed a 94% accuracy rate, a 94% positive predictive value, a 100% negative predictive value, 100% sensitivity, and 89% specificity. There was no statistical significance between the accuracy of MRI and US. We conclude that MRI and US imaging should both be considered when forearm interosseous membrane integrity is in question.

AB - The purpose of this study was to examine the efficacy of magnetic resonance imaging (MRI) and ultrasound (US) in determining complete disruptions of the central portion of the forearm interosseous membrane. The midportion of the forearm interosseous ligament was longitudinally incised in 19 fresh-frozen cadaver arms. The specimens were imaged with MRI and US. The MRIs were examined by a hand surgeon, a musculoskeletal radiologist, and a general radiologist, all blinded to the state of the interosseous membrane. The musculoskeletal radiologist and general radiologists read the real-time US images in a consensus fashion. Magnetic resonance imaging showed a 96% accuracy rate, a 100% positive predictive value, a 93% negative predictive value, 93% sensitivity, and 100% specificity. Kappa analysis showed substantial interobserver agreement for MRI. Ultrasound showed a 94% accuracy rate, a 94% positive predictive value, a 100% negative predictive value, 100% sensitivity, and 89% specificity. There was no statistical significance between the accuracy of MRI and US. We conclude that MRI and US imaging should both be considered when forearm interosseous membrane integrity is in question.

KW - Essex-Lopresti lesion

KW - Forearm interosseous ligament

KW - Forearm interosseous membrane

KW - Magnetic resonance imaging

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=0036091917&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036091917&partnerID=8YFLogxK

U2 - 10.1053/jhsu.2002.32961

DO - 10.1053/jhsu.2002.32961

M3 - Article

C2 - 12015715

AN - SCOPUS:0036091917

VL - 27

SP - 418

EP - 424

JO - The Hand

JF - The Hand

SN - 1753-1934

IS - 3

ER -