MRI study of the capitate, lunate, and lunate fossa with relevance to proximal row carpectomy. 2008

Sanford Hawkins-Rivers, and Jeffrey E Budoff, and Sabir K Ismaily, and Philip C Noble, and John Haddad
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX 77030, USA.

OBJECTIVE To study the articular morphology (radius of curvature), (diameter, depth, circularity, and percent of circle) of the capitate, proximal lunate, and the lunate fossa of the distal radius using both magnetic resonance imaging (MRI) scans and plain radiographs. The correlation between plain radiographs and MRI scans for these measurements will also be assessed. METHODS Twenty MRI scans and 17 sets of radiographs of asymptomatic volunteers were evaluated. Standardized surface landmarks were digitized and measured in both the sagittal and coronal planes. The parameters of interest were calculated from the digitized data using specialized software. RESULTS Using MRI data, we determined the radius of curvature of the capitate to be only 37% +/- 10 of the lunate fossa of the distal radius on the coronal (anteroposterior) view and to be 57% +/- 10 on the sagittal (lateral) view. In both planes, the proximal lunate had a significantly larger diameter and radius of curvature than did the capitate. The ratio of the radius of curvature of the proximal capitate to the proximal lunate on the coronal projection ranged from .366 to .811, and on the sagittal projection the values ranged from .46 to .71. Plain radiographs were not sufficiently accurate to determine the radius of curvature ratio of the capitate to the lunate or to the lunate fossa of the distal radius on the coronal view based on a comparison with MRI data. Plain radiography did not correlate with MRI for most clinically relevant parameters. CONCLUSIONS The articular morphology of the capitate does not closely correspond with that of the lunate fossa when compared with the proximal lunate articular surface. Based on observed variations in capitate morphology and the potential for associated alterations in joint contact forces after proximal row carpectomy, preoperative MRI may facilitate the selection of patients with more favorable capitate morphology.

UI MeSH Term Description Entries
D008279 Magnetic Resonance Imaging Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques. Chemical Shift Imaging,MR Tomography,MRI Scans,MRI, Functional,Magnetic Resonance Image,Magnetic Resonance Imaging, Functional,Magnetization Transfer Contrast Imaging,NMR Imaging,NMR Tomography,Tomography, NMR,Tomography, Proton Spin,fMRI,Functional Magnetic Resonance Imaging,Imaging, Chemical Shift,Proton Spin Tomography,Spin Echo Imaging,Steady-State Free Precession MRI,Tomography, MR,Zeugmatography,Chemical Shift Imagings,Echo Imaging, Spin,Echo Imagings, Spin,Functional MRI,Functional MRIs,Image, Magnetic Resonance,Imaging, Magnetic Resonance,Imaging, NMR,Imaging, Spin Echo,Imagings, Chemical Shift,Imagings, Spin Echo,MRI Scan,MRIs, Functional,Magnetic Resonance Images,Resonance Image, Magnetic,Scan, MRI,Scans, MRI,Shift Imaging, Chemical,Shift Imagings, Chemical,Spin Echo Imagings,Steady State Free Precession MRI
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D011884 Radius The outer shorter of the two bones of the FOREARM, lying parallel to the ULNA and partially revolving around it. Radial Tuberosity,Radial Tuberosities,Tuberosities, Radial,Tuberosity, Radial
D002348 Carpal Bones The eight bones of the wrist: SCAPHOID BONE; LUNATE BONE; TRIQUETRUM BONE; PISIFORM BONE; TRAPEZIUM BONE; TRAPEZOID BONE; CAPITATE BONE; and HAMATE BONE. Bone, Carpal,Bones, Carpal,Carpal Bone
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012667 Lunate Bone A moon-shaped carpal bone which is located between the SCAPHOID BONE and TRIQUETRUM BONE. Semilunar Bone,Os Lunatum,Bone, Lunate,Bone, Semilunar,Bones, Lunate,Bones, Semilunar,Lunate Bones,Semilunar Bones

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