MR Imaging Provides Practical Information for Preoperative Assessment of Radial Polydactyly with Bifurcation at the Metacarpophalangeal Joint Level

doi:10.2147/IJGM.S352501

科研成果详情

题名	MR Imaging Provides Practical Information for Preoperative Assessment of Radial Polydactyly with Bifurcation at the Metacarpophalangeal Joint Level
作者	Du, Meimei1; Jiang, Lezhen1; Wang, Anyuan 2; Shi, Jianjing1; Bai, Guanghui1
发表日期	2022
发表期刊	INTERNATIONAL JOURNAL OF GENERAL MEDICINE 影响因子和分区
语种	英语
原始文献类型	Article
关键词	polydactyly congenital hand deformity magnetic resonance imaging classification anatomy
其他关键词	CLASSIFICATION-SYSTEM ; THUMB ; ARTHROGRAPHY
摘要	Purpose: We aimed to evaluate the use of magnetic resonance imaging (MRI) to visualize unossified bone sites that are often not visible with radiography in pediatric radial polydactyly patients with bifurcation at the metacarpophalangeal (MP) joint level. The MRI validation could help in planning for surgical procedures. Patients and Methods: A total of 141 thumbs in 139 pediatric patients with bifurcation at the MP joint on radiography were included in this study. All the patients had undergone MRI with proton density-weighted fat-suppressed fast spin-echo (FS PDWI) sequence and fast fat-suppressed 3D spoiled gradient-recalled echo (FS 3D SPGR) sequence. The MR images of the cartilaginous structure and joint characteristics at the MP joint were evaluated and categorized by two experienced radiologists. Results: Our analysis demonstrated that MR imaging, especially the FS 3D SPGR sequence, yields better visibility of the cartilaginous structure and shows clearer joint characteristics that could not be detected by radiography. The abnormalities included a cartilaginous connection on the base of duplicated proximal phalanx, cartilaginous joint connection and the shape of articular cartilage on the head of metacarpal and soft tissue band. Radiologically encountered duplications at the MP joint level were successfully classified into six types based on the MRI-detected structural changes. The distribution of the six types was 17.7% (25/141) in type 1, 53.9% (76/141) in type 2, 2.8% (4/141) in type 3, 9.9% (14/141) in type 4, and 13.5% (19/141) in type 5. Conclusion: This data showed that MR imaging provides practical information on the anatomic characteristics in radial polydactyly with bifurcation at the MP joint level that could aid surgical decision-making processes. Thus, the FS 3D SPGR sequence could be used as a MR imaging technique in radial polydactyly.
资助项目	Municipal Science and Technology Project of Wenzhou [Y20190669]
出版者	DOVE MEDICAL PRESS LTD
出版地	ALBANY
ISSN	1178-7074
EISSN	1178-7074
卷号	15 页码:2163-2169
DOI	10.2147/IJGM.S352501
页数	7
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
WOS记录号	WOS:000764009900004
收录类别	SCIE ; PUBMED ; SCOPUS
URL	查看原文
PubMed ID	35241931
PMC记录号	PMC8887608
SCOPUSEID	2-s2.0-85125286344
通讯作者地址	[Bai, Guanghui]Department of Radiology,The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China
Scopus学科分类	Medicine (all)
引用统计	被引频次[WOS]：0 [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/992
专题	第二临床医学院，附属第二医院、育英儿童医院
通讯作者	Bai, Guanghui
作者单位	1.Department of Radiology,The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China; 2.Department of Hand and Plastic Surgery,The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University,Zhejiang,Wenzhou,China
第一作者单位	第二临床医学院，附属第二医院、育英儿童医院
通讯作者单位	第二临床医学院，附属第二医院、育英儿童医院
第一作者的第一单位	第二临床医学院，附属第二医院、育英儿童医院
推荐引用方式 GB/T 7714	Du, Meimei,Jiang, Lezhen,Wang, Anyuan,et al. MR Imaging Provides Practical Information for Preoperative Assessment of Radial Polydactyly with Bifurcation at the Metacarpophalangeal Joint Level[J]. INTERNATIONAL JOURNAL OF GENERAL MEDICINE,2022,15:2163-2169.
APA	Du, Meimei, Jiang, Lezhen, Wang, Anyuan, Shi, Jianjing, & Bai, Guanghui. (2022). MR Imaging Provides Practical Information for Preoperative Assessment of Radial Polydactyly with Bifurcation at the Metacarpophalangeal Joint Level. INTERNATIONAL JOURNAL OF GENERAL MEDICINE, 15, 2163-2169.
MLA	Du, Meimei,et al."MR Imaging Provides Practical Information for Preoperative Assessment of Radial Polydactyly with Bifurcation at the Metacarpophalangeal Joint Level".INTERNATIONAL JOURNAL OF GENERAL MEDICINE 15(2022):2163-2169.