Skip to main content
SpringerLink
Log in

Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries

  • Musculoskeletal
  • Published:
European Radiology Aims and scope Submit manuscript

A Commentary to this article was published on 05 June 2023

Abstract

Objectives

The purpose of this agreement was to establish evidence-based consensus statements on imaging of distal radioulnar joint (DRUJ) instability and triangular fibrocartilage complex (TFCC) injuries by an expert group using the Delphi technique.

Methods

Nineteen hand surgeons developed a preliminary list of questions on DRUJ instability and TFCC injuries. Radiologists created statements based on the literature and the authors’ clinical experience. Questions and statements were revised during three iterative Delphi rounds. Delphi panelists consisted of twenty-seven musculoskeletal radiologists. The panelists scored their degree of agreement to each statement on an 11-item numeric scale. Scores of “0,” “5,” and “10” reflected complete disagreement, indeterminate agreement, and complete agreement, respectively. Group consensus was defined as a score of “8” or higher for 80% or more of the panelists.

Results

Three of fourteen statements achieved group consensus in the first Delphi round and ten statements achieved group consensus in the second Delphi round. The third and final Delphi round was limited to the one question that did not achieve group consensus in the previous rounds.

Conclusions

Delphi-based agreements suggest that CT with static axial slices in neutral rotation, pronation, and supination is the most useful and accurate imaging technique for the work-up of DRUJ instability. MRI is the most valuable technique in the diagnosis of TFCC lesions. The main indication for MR arthrography and CT arthrography are Palmer 1B foveal lesions of the TFCC.

Clinical relevance statement

MRI is the method of choice for assessing TFCC lesions, with higher accuracy for central than peripheral abnormalities. The main indication for MR arthrography is the evaluation of TFCC foveal insertion lesions and peripheral non-Palmer injuries.

Key points

• Conventional radiography should be the initial imaging technique in the assessment of DRUJ instability. CT with static axial slices in neutral rotation, pronation, and supination is the most accurate method for evaluating DRUJ instability.

• MRI is the most useful technique in diagnosing soft-tissue injuries causing DRUJ instability, especially TFCC lesions.

• The main indications for MR arthrography and CT arthrography are foveal lesions of the TFCC.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Abbreviations

CT:

Computed tomography

DOB:

Distal oblique band of the interosseous membrane

DRUJ:

Distal radioulnar joint

ECU:

Extensor carpi ulnaris

IQR:

Interquartile range

I-WRIST 2021:

International Wrist Radiologic evaluation for the Instability of the Scapholunate and DRUJ/TFCC

MRI:

Magnetic resonance imaging

TFCC:

Triangular fibrocartilage complex

References

  1. Gulati A, Wadhwa V, Ashikyan O, Cerezal L, Chhabra A (2019) Current perspectives in conventional and advanced imaging of the distal radioulnar joint dysfunction: review for the musculoskeletal radiologist. Skeletal Radiol 48(3):331–348

    Article  PubMed  Google Scholar 

  2. Amrami KK, Moran SL, Berger RA, Ehman EC, Felmlee JP (2010) Imaging the distal radioulnar joint. Hand Clin 26(4):467–475

    Article  PubMed  Google Scholar 

  3. Nakamura T (2012) Anatomy and biomechanics of the distal radioulnar joint (DRUJ). In: del Piñal F, Mathoulin C, Nakamura T (eds) Arthroscopic Management of Ulnar Pain. Springer, Heidelberg, pp 15–23

    Chapter  Google Scholar 

  4. Kleinman WB (2007) Stability of the distal radioulna joint: biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years. J Hand Surg Am 32(7):1086–1106

    Article  PubMed  Google Scholar 

  5. Cerezal L, de Dios B-M, Canga A et al (2012) MR and CT arthrography of the wrist. Semin Musculoskelet Radiol 16(1):27–41

    Article  PubMed  Google Scholar 

  6. Cody ME, Nakamura DT, Small KM, Yoshioka H (2015) MR imaging of the triangular fibrocartilage complex. Magn Reson Imaging Clin N Am 23(3):393–403

    Article  PubMed  Google Scholar 

  7. Kirchberger MC, Mühldorfer-Fodor M, Hahn P et al (2015) Update TFCC: histology and pathology, classification, examination and diagnostics. Arch Orthop Trauma Surg 135(3):427–437

    Article  PubMed  Google Scholar 

  8. Jens S, Luijkx T, Smithuis FF, Maas M (2017) Diagnostic modalities for distal radioulnar joint. J Hand Surg Eur Vol 42(4):395–404

    Article  CAS  PubMed  Google Scholar 

  9. Lee RK, Ng AW, Tong CS et al (2013) Intrinsic ligament and triangular fibrocartilage complex tears of the wrist: comparison of MDCT arthrography, conventional 3-T MRI, and MR arthrography. Skeletal Radiol 42(9):1277–1285

    Article  CAS  PubMed  Google Scholar 

  10. Moser T, Khoury V, Harris PG, Bureau NJ, Cardinal E, Dosch JC (2009) MDCT arthrography or MR arthrography for imaging the wrist joint? Semin Musculoskelet Radiol 13(1):39–54

    Article  PubMed  Google Scholar 

  11. Wang ZX, Chen SL, Wang QQ et al (2015) The performance of magnetic resonance imaging in the detection of triangular fibrocartilage complex injury: a meta-analysis. J Hand Surg Eur Vol 40(5):477–484

    Article  CAS  PubMed  Google Scholar 

  12. Treiser MD, Crawford K, Iorio ML (2018) TFCC injuries: meta-analysis and comparison of diagnostic imaging modalities. J Wrist Surg 7(3):267–272

    Article  PubMed  PubMed Central  Google Scholar 

  13. Dietrich TJ, Toms AP, Cerezal L et al (2021) Interdisciplinary consensus statements on imaging of scapholunate joint instability. Eur Radiol 31(12):9446–9458

    Article  PubMed  PubMed Central  Google Scholar 

  14. Palmer AK (1989) Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 14:594–606

    Article  CAS  PubMed  Google Scholar 

  15. Atzei A (2009) New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur Vol 34(5):582–591

    Article  CAS  PubMed  Google Scholar 

  16. Atzei A, Luchetti R (2011) Foveal TFCC tear classification and treatment. Hand Clin 27(3):263–272

    Article  PubMed  Google Scholar 

  17. Atzei A, Luchetti R, Garagnani L (2017) Classification of ulnar triangular fibrocartilage complex tears. A treatment algorithm for Palmer type IB tears. J Hand Surg Eur Vol 42(4):405–414

    Article  CAS  PubMed  Google Scholar 

  18. del Piñal F (2012) The 1B Constellation: an attempt to classify Palmer 1B class. In: del Piñal F, Mathoulin C, Nakamura T (eds) Arthroscopic management of ulnar pain. Springer, Heidelberg, pp 87–97

    Chapter  Google Scholar 

  19. Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence (2011) Centre for Evidence-Based Medicine, Oxford. Available via https://www.cebm.net/wp-content/uploads/2014/06/CEBM-Levels-of-Evidence-2.1.pdf. Accessed January 14, 2021

  20. Steurer J (2011) The Delphi method: an efficient procedure to generate knowledge. Skeletal Radiol 40(8):959–961

    Article  PubMed  Google Scholar 

  21. von der Gracht HA (2012) Consensus measurement in Delphi studies: review and implications for future quality assurance. Technol Forecast Soc Chang 79:1525–1536

    Article  Google Scholar 

  22. Diamond IR, Grant RC, Feldman BM et al (2014) Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol 67(4):401–409

    Article  PubMed  Google Scholar 

  23. Mascarenhas VV, Castro MO, Rego PA et al (2020) The Lisbon Agreement on Femoroacetabular Impingement Imaging-part 1: overview. Eur Radiol 30:5281–5297

    Article  PubMed  Google Scholar 

  24. Tolat AR, Stanley JK, Trail IA (1996) A cadaveric study of the anatomy and stability of the distal radioulnar joint in the coronal and transverse planes. J Hand Surg Br 21(5):587–994

    Article  CAS  PubMed  Google Scholar 

  25. af Ekenstam F, Hagert CG (1985) Anatomical studies on the geometry and stability of the distal radio ulnar joint. Scand J Plast Reconstr Surg 19(1):17–25

    CAS  PubMed  Google Scholar 

  26. Wallwork NA, Bain GI (2001) Sigmoid notch osteoplasty for chronic volar instability of the distal radioulnar joint: a case report. J Hand Surg Am 26:454–459

    Article  CAS  PubMed  Google Scholar 

  27. Watanabe H, Berger RA, An KN, Berglund LJ, Zobitz ME (2004) Stability of the distal radioulnar joint contributed by the joint capsule. J Hand Surg Am 29(6):1114–1120

    Article  PubMed  Google Scholar 

  28. Mespreuve M, Vanhoenacker F, Verstraete K (2015) Imaging findings of the distal radio-ulnar joint in trauma. J Belg Soc Radiol 99(1):1–20

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Carr R, MacLean S, Slavotinek J, Bain GI (2019) Four-dimensional computed tomography scanning for dynamic wrist disorders: prospective analysis and recommendations for clinical utility. J Wrist Surg 8(2):161–167

    Article  PubMed  Google Scholar 

  30. Hess F, Sutter R, Nagy L, Schweizer A (2016) Stability and clinical outcome after reconstruction of complete triangular fibrocartilage disruption. J Wrist Surg 5(2):124–130

    Article  PubMed  PubMed Central  Google Scholar 

  31. Cerezal L, del Piñal F, Abascal F, García-Valtuille R, Pereda T, Canga A (2002) Imaging findings in ulnar-sided wrist impaction syndromes. Radiographics 22(1):105–121

    Article  PubMed  Google Scholar 

  32. Serfaty A, Costa HP, Foelker CE, Filho ENK, Souza FF, Bordalo-Rodrigues M (2020) Evaluation of ulnar variance on wrist MR imaging: is it a reliable measure? Skeletal Radiol 49(5):723–730

    Article  PubMed  Google Scholar 

  33. Laino DK, Petchprapa CN, Lee SK (2012) Ulnar variance: correlation of plain radiographs, computed tomography, and magnetic resonance imaging with anatomic dissection. J Hand Surg Am 37(1):90–97

    Article  PubMed  Google Scholar 

  34. Zhan H, Bai R, Qian Z, Yang Y, Zhang H, Yin Y (2020) Traumatic injury of the triangular fibrocartilage complex (TFCC)-a refinement to the Palmer classification by using high-resolution 3-T MRI. Skeletal Radiol 49(10):1567–1579

    Article  PubMed  Google Scholar 

  35. Nozaki T, Rafijah G, Yang L et al (2017) High-resolution 3 T MRI of traumatic and degenerative triangular fibrocartilage complex (TFCC) abnormalities using Palmer and Outerbridge classifications. Clin Radiol 72(10):904.e1-904.e10

    Article  CAS  PubMed  Google Scholar 

  36. Lee YH, Choi YR, Kim S, Song HT, Suh JS (2013) Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist: comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T. Magn Reson Imaging 31(2):221–226

    Article  PubMed  Google Scholar 

  37. Magee T (2009) Comparison of 3-T MRI and arthroscopy of intrinsic wrist ligament and TFCC tears. AJR Am J Roentgenol 192(1):80–85

    Article  PubMed  Google Scholar 

  38. Petsatodis E, Pilavaki M, Kalogera A, Drevelegas A, Agathangelidis F, Ditsios K (2019) Comparison between conventional MRI and MR arthrography in the diagnosis of triangular fibrocartilage tears and correlation with arthroscopic findings. Injury 50(8):1464–1469

    Article  PubMed  Google Scholar 

  39. Bille B, Harley B, Cohen H (2007) A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg Am 32(6):834–841

    Article  PubMed  Google Scholar 

  40. De Filippo M, Pogliacomi F, Bertellini A et al (2010) MDCT arthrography of the wrist: diagnostic accuracy and indications. Eur J Radiol 74(1):221–225

    Article  PubMed  Google Scholar 

  41. Schmitt R, Christopoulos G, Meier R et al (2003) Direct MR arthrography of the wrist in comparison with arthroscopy: a prospective study on 125 patients. Rofo 175(7):911–919

    CAS  PubMed  Google Scholar 

  42. Smith TO, Drew B, Toms AP, Jerosch-Herold C, Chojnowski AJ (2012) Diagnostic accuracy of magnetic resonance imaging and magnetic resonance arthrography for triangular fibrocartilaginous complex injury: a systematic review and meta-analysis. J Bone Joint Surg Am 94(9):824–832

    Article  PubMed  Google Scholar 

  43. Andersson JK, Andernord D, Karlsson J, Fridén J (2015) Efficacy of magnetic resonance imaging and clinical tests in diagnostics of wrist ligament injuries: a systematic review. Arthroscopy 31(10):2014–2020

    Article  PubMed  Google Scholar 

  44. Nakamura T, Makita A (2000) The proximal ligamentous component of the triangular fibrocartilage complex. J Hand Surg Br 25(5):479–486

    CAS  PubMed  Google Scholar 

  45. Haugstvedt JR, Berger RA, Nakamura T, Neale P, Berglund L, An KN (2006) Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg Am 31(3):445–451

    Article  PubMed  Google Scholar 

  46. Ehman EC, Hayes ML, Berger RA, Felmlee JP, Amrami KK (2011) Subluxation of the distal radioulnar joint as a predictor of foveal triangular fibrocartilage complex tears. J Hand Surg Am 36(11):1780–1784

    Article  PubMed  Google Scholar 

  47. Zhan H, Zhang H, Bai R, Qian Z, Liu Y, Zhang H, Yin Y (2017) High-resolution 3-T MRI of the triangular fibrocartilage complex in the wrist: injury pattern and MR features. Skeletal Radiol 46(12):1695–1706

    Article  PubMed  Google Scholar 

  48. Ringler MD (2013) MRI of wrist ligaments. J Hand Surg 38(10):2034–2046

    Article  Google Scholar 

  49. Haims AH, Schweitzer ME, Morrison WB et al (2002) Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol 178(2):419–422

    Article  PubMed  Google Scholar 

  50. Rüegger C, Schmid MR, Pfirrmann CW, Nagy L, Gilula LA, Zanetti M (2007) Peripheral tear of the triangular fibrocartilage: depiction with MR arthrography of the distal radioulnar joint. AJR Am J Roentgenol 188(1):187–192

    Article  PubMed  Google Scholar 

  51. Moritomo H, Arimitsu S, Kubo N, Masatomi T, Yukioka M (2015) Computed tomography arthrography using a radial plane view for the detection of triangular fibrocartilage complex foveal tears. J Hand Surg Am 40(2):245–251

    Article  PubMed  Google Scholar 

  52. Grunz J-P, Gietzen CH, Luetkens K et al (2020) The importance of radial multiplanar reconstructions for assessment of triangular fibrocartilage complex injury in CT arthrography of the wrist. BMC Musculoskelet Disord 21(1):286

    Article  PubMed  PubMed Central  Google Scholar 

  53. Bednar MS, Arnoczky SP, Weiland AJ (1991) The microvasculature of the triangular fibrocartilage complex: its clinical significance. J Hand Surg 16(6):1101–1105

    Article  CAS  Google Scholar 

  54. Tanaka T, Yoshioka H, Ueno T, Shindo M, Ochiai N (2006) Comparison between high-resolution MRI with a microscopy coil and arthroscopy in triangular fibrocartilage complex injury. J Hand Surg Am 31(8):1308–1314

    Article  PubMed  Google Scholar 

  55. Ringler MD, Howe BM, Amrami KK, Hagen CE, Berger RA (2013) Utility of magnetic resonance imaging for detection of longitudinal split tear of the ulnotriquetral ligament. J Hand Surg Am 38(9):1723–1727

    Article  PubMed  Google Scholar 

  56. Nakamura T (2010) Radial side tear of the triangular fibrocartilage complex. In: del Piñal F, Mathoulin C, Luchetti R (eds) Arthroscopic management of distal radius fractures. Springer, Heidelberg, pp 89–98

    Chapter  Google Scholar 

  57. Morisawa Y, Nakamura T, Tazaki K (2007) Dorsoradial avulsion of the triangular fibrocartilage complex with an avulsion fracture of the sigmoid notch of the radius. J Hand Surg European 32(6):705–708

    Article  CAS  Google Scholar 

  58. Estrella EP, Hung LK, Ho PC, Tse WL (2007) Arthroscopic repair of triangular fibrocartilage complex tears. Arthroscopy 23(7):729–737

    Article  PubMed  Google Scholar 

  59. Abe Y, Tominaga Y, Yoshida K (2012) Various patterns of traumatic triangular fibrocartilage complex tear. Hand Surg 17(2):191–198

    Article  CAS  PubMed  Google Scholar 

  60. Schmitt R, Grunz JP, Langer M (2022) Triangular fibrocartilage complex injuries - limitations of the current classification systems and the proposed new “CUP” classification. J Hand Surg Eur Vol 13:17531934221121932

    Google Scholar 

  61. Jose J, Arizpe A, Barrera CM et al (2018) MRI findings in bucket-handle tears of the triangular fibrocartilage complex. Skeletal Radiol 47(3):419–424

    Article  PubMed  Google Scholar 

  62. Boutin RD, Fritz RC (2021) Displaced flap tears of the triangular fibrocartilage complex: frequency, flap Location, and the “comma” sign on wrist MRI. AJR Am J Roentgenol 217(3):707–708

    Article  PubMed  Google Scholar 

  63. Abe Y, Moriya A, Tominaga Y, Yoshida K (2016) Dorsal tear of triangular fibrocartilage complex: clinical features and treatment. J Wrist Surg 5(1):42–46

    Article  PubMed  PubMed Central  Google Scholar 

  64. Haugstvedt JR, Søreide E (2017) Arthroscopic management of triangular fibrocartilage complex peripheral injury. Hand Clin 33(4):607–618

    Article  PubMed  Google Scholar 

  65. Kim YH, Gong HS, Park JW et al (2017) Magnetic resonance imaging evaluation of the distal oblique bundle in the distal interosseous membrane of the forearm. BMC Musculoskelet Disord 18(1):47

    Article  PubMed  PubMed Central  Google Scholar 

  66. Okada K, Moritomo H, Miyake J et al (2014) Morphological evaluation of the distal interosseous membrane using ultrasound. Eur J Orthop Surg Traumatology 24(7):1095–1100

    Article  Google Scholar 

  67. MacLennan AJ, Nemechek NM, Waitayawinyu T, Trumble TE (2008) Diagnosis and anatomic reconstruction of extensor carpi ulnaris subluxation. J Hand Surg Am 33(1):59–64

    Article  PubMed  Google Scholar 

  68. Jeantroux J, Becce F, Guerini H et al (2011) Athletic injuries of the extensor carpi ulnaris subsheath: MRI findings and utility of gadolinium-enhanced fat-saturated T1-weighted sequences with wrist pronation and supination. Eur Radiol 21(1):160–166

    Article  PubMed  Google Scholar 

  69. Luijkx T, Buckens CF, van Seeters T, Pegge SA, Maas M (2019) ECU tendon subluxation: a nonspecific MRI finding occurring in all wrist positions irrespective of ulnar-sided symptoms? Eur J Radiol 116:192–197

    Article  PubMed  Google Scholar 

  70. Petchprapa CN, Meraj S, Jain N (2016) ECU tendon “dislocation” in asymptomatic volunteers. Skeletal Radiol 45(6):805–812

    Article  PubMed  Google Scholar 

  71. Lee KS, Ablove RH, Singh S et al (2009) Ultrasound imaging of normal displacement of the extensor carpi ulnaris tendon within the ulnar groove in 12 forearm–wrist positions. AJR Am J Roentgenol 193(3):651–655

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This study has received funding by The European Society of Musculoskeletal Radiology, which covered the expenses for the statistician of the I-WRIST 2021 interdisciplinary consensus statement project.

Author information

Author notes

  1. Iwona Sudoł-Szopińska and Tobias Johannes Dietrich contributed equally to this work.

Authors and Affiliations

  1. Radiology Department, Diagnóstico Médico Cantabria (DMC), Castilla 6-Bajo, 39002, Santander, Spain

    Luis Cerezal

  2. Instituto de Cirugía Plástica Y de La Mano, Serrano 58 1B, 28001, Madrid, Spain

    Francisco del Piñal

  3. Pro-Mano, Treviso, Italy

    Andrea Atzei

  4. Ospedale Koelliker, Corso G. Ferraris 247, 10134, Torino, Italy

    Andrea Atzei

  5. Department of Radiology, University Hospital LMU Munich, Ziemssenstraße 5, 80336, München, Germany

    Rainer Schmitt

  6. Department of Radiology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany

    Rainer Schmitt

  7. Department of Diagnostic and Interventional Radiology, Lausanne University Hospital, Lausanne, Switzerland

    Fabio Becce

  8. University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland

    Fabio Becce

  9. Department of Traumatology and Orthopaedics, Postgraduate Medical Center, A. Gruca Teaching Hospital, Otwock, Poland

    Maciej Klich

  10. Gamma Medical Center, Broniewskiego 3, 01-785, Warsaw, Poland

    Maciej Bień & Grzegorz Pracoń

  11. Department of Radiology, St. Antonius Hospital Utrecht, Utrecht, The Netherlands

    Milko C. de Jonge

  12. Department of Radiology, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, UK

    James Teh

  13. Department of Radiology, Stanford University School of Medicine, 300 Pasteur Drive, MC-5105, Stanford, CA, 94305, USA

    Robert Downey Boutin

  14. Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, NR4 7TJ, UK

    Andoni Paul Toms

  15. Department of Diagnostic and Interventional Radiology, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011, Lausanne, Switzerland

    Patrick Omoumi

  16. Department of Radiology, New York University Grossman School of Medicine, NYU Langone Health, 660 First Avenue, New York, NY, 10016, USA

    Jan Fritz

  17. Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Via G. C. Pupilli 1, 40136, Bologna, Italy

    Alberto Bazzocchi

  18. Department of Radiology, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium

    Maryam Shahabpour

  19. Kantonsspital Baden, Im Ergel 1, CH-5404, Baden, Switzerland

    Marco Zanetti

  20. Hospital de La Ribera. IMSKE. Valencia, Paseo Ciudadela 13, 46003, Valencia, Spain

    Eva Llopis

  21. Guilloz Imaging Department, Central Hospital, University Hospital Center of Nancy, UDL, 29 Avenue du Maréchal de Lattre de Tassigny, 54035, Nancy, France

    Alain Blum

  22. Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK

    Radhesh Krishna Lalam

  23. Balgrist University Hospital, University of Zurich, Forchstrasse 340, CH-8008 Radiology, Zurich, Switzerland

    Sutter Reto

  24. Faculty of Medicine, University of Zurich, Pestalozzistrasse 3, 8091, Zurich, Switzerland

    Sutter Reto & Tobias Johannes Dietrich

  25. Imaging Center, Radiology Department, Musculoskeletal Imaging Unit, Hospital da Luz, Grupo Luz Saúde, Av. Lusiada 100, 1500-650, Lisbon, Portugal

    P. Diana Afonso & Vasco V. Mascarenhas

  26. Hospital Particular da Madeira, HPA, Madeira, Portugal

    P. Diana Afonso

  27. AIRC, Advanced Imaging Research Consortium, Lisbon, Portugal

    Vasco V. Mascarenhas

  28. Musculoskeletal Radiology Department, Lille University Hospital Center, 59037, Lille, France

    Anne Cotten

  29. Lille University School of Medicine, Lille, France

    Anne Cotten

  30. Service de Radiologie B, AP-HP Centre, Groupe Hospitalier Cochin, Université de Paris, 75014, Paris, France

    Jean-Luc Drapé

  31. MSK Imaging, University Hospital, 1 Avenue Molière, 67098, Strasbourg Cedex, France

    Guillaume Bierry

  32. Academic Surgical Unit, South West London Elective Orthopaedic Centre (SWLEOC), Dorking Road, Epsom, KT18 7EG, London, UK

    Danoob Dalili

  33. Department of Medical Imaging, University Hospital Ghent, Corneel Heymanslaan 10, 9000, Ghent, Belgium

    Marc Mespreuve

  34. Hand and Upper Extremity Surgery, Creu Blanca, Pº Reina Elisenda 57, 08022, Barcelona, Spain

    Marc Garcia-Elias

  35. Department of Orthopaedic Surgery, Flinders Medical Centre and Flinders University, Adelaide, South, Australia

    Gregory Ian Bain

  36. International Wrist Center, Clinique Bizet, 23 Rue Georges Bizet, 75116, Paris, France

    Christophe L. Mathoulin

  37. Hand and Foot Surgery Unit (HFSU) SPRL, Rue Pierre Caille 9, 7500, Tournai, Belgium

    Luc Van Overstraeten

  38. Department of Orthopaedics and Traumatology, Erasme University Hospital, Route de Lennik 808, Brussels, Belgium

    Luc Van Overstraeten

  39. Department of Orthopaedic Surgery, Health System, University of California Davis, 4800 Y Street, Sacramento, CA, 95817, USA

    Robert M. Szabo

  40. IMPPACT Hand Surgery Unit, Clinique de Lille Sud, 94 Bis Rue Gustave Delory, Lesquin, France

    Emmanuel J. Camus

  41. Laboratoire d’anatomie Fonctionnelle, ULB, Bruxelles, Belgium

    Emmanuel J. Camus

  42. Rimini Hand Surgery and Rehabilitation Center, Rimini, Italy

    Riccardo Luchetti

  43. Orthopaedics and Trauma Department, Hand and Upper Limb Surgery, Norfolk and Norwich University NHS Trust Hospital, Colney Lane, Norwich, NR4 7UY, UK

    Adrian Julian Chojnowski

  44. Department of Hand and Plastic Surgery Berit Klinik, Klosterstrasse 19, 9403, Goldach, Switzerland

    Joerg G. Gruenert

  45. Traumatology, Orthopaedics and Hand Surgery, Poznan University of Medical Sciences, Ul. 28 Czerwca 1956R. Nr 135/147, 61-545, Poznań, Poland

    Piotr Czarnecki

  46. Orthopedic and Trauma Department. Hospital, Universitario Infanta Leonor, C/ Gran Vía del Este N° 80, 28031, Madrid, Spain

    Fernando Corella

  47. Hand Surgery Unit. Hospital Universitario Quirónsalud Madrid, Madrid, Spain

    Fernando Corella

  48. Surgery Department, School of Medicine, Universidad Complutense, Madrid, Spain

    Fernando Corella

  49. Division for Hand Surgery and Surgery of Peripheral Nerves, Balgrist University Hospital, University of Zurich, Forchstrasse 340, Zurich, Switzerland

    Ladislav Nagy

  50. Department of Hand Surgery, Nagoya University, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Japan

    Michiro Yamamoto

  51. Hand and Microsurgery Division, Priorov Central Institute of Traumatology and Orthopedy, Moscow, Russia

    Igor O. Golubev

  52. Clinic for Hand Surgery, Rhön Medical Center, Campus Bad Neustadt, Von Guttenberg-Straße 11, 97616, Bad Neustadt/Saale, Germany

    Jörg van Schoonhoven & Florian Goehtz

  53. Department of Radiology, National Institute of Geriatrics, Rheumatology and Rehabilitation, Spartańska 1, 02-637, Warsaw, Poland

    Iwona Sudoł-Szopińska

  54. Division of Radiology and Nuclear Medicine, Kantonsspital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland

    Tobias Johannes Dietrich

Authors
  1. Luis Cerezal
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Francisco del Piñal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Andrea Atzei
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rainer Schmitt
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Fabio Becce
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Maciej Klich
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Maciej Bień
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Milko C. de Jonge
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. James Teh
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Robert Downey Boutin
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Andoni Paul Toms
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Patrick Omoumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Jan Fritz
    View author publications

    You can also search for this author in PubMed Google Scholar

  14. Alberto Bazzocchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  15. Maryam Shahabpour
    View author publications

    You can also search for this author in PubMed Google Scholar

  16. Marco Zanetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  17. Eva Llopis
    View author publications

    You can also search for this author in PubMed Google Scholar

  18. Alain Blum
    View author publications

    You can also search for this author in PubMed Google Scholar

  19. Radhesh Krishna Lalam
    View author publications

    You can also search for this author in PubMed Google Scholar

  20. Sutter Reto
    View author publications

    You can also search for this author in PubMed Google Scholar

  21. P. Diana Afonso
    View author publications

    You can also search for this author in PubMed Google Scholar

  22. Vasco V. Mascarenhas
    View author publications

    You can also search for this author in PubMed Google Scholar

  23. Anne Cotten
    View author publications

    You can also search for this author in PubMed Google Scholar

  24. Jean-Luc Drapé
    View author publications

    You can also search for this author in PubMed Google Scholar

  25. Guillaume Bierry
    View author publications

    You can also search for this author in PubMed Google Scholar

  26. Grzegorz Pracoń
    View author publications

    You can also search for this author in PubMed Google Scholar

  27. Danoob Dalili
    View author publications

    You can also search for this author in PubMed Google Scholar

  28. Marc Mespreuve
    View author publications

    You can also search for this author in PubMed Google Scholar

  29. Marc Garcia-Elias
    View author publications

    You can also search for this author in PubMed Google Scholar

  30. Gregory Ian Bain
    View author publications

    You can also search for this author in PubMed Google Scholar

  31. Christophe L. Mathoulin
    View author publications

    You can also search for this author in PubMed Google Scholar

  32. Luc Van Overstraeten
    View author publications

    You can also search for this author in PubMed Google Scholar

  33. Robert M. Szabo
    View author publications

    You can also search for this author in PubMed Google Scholar

  34. Emmanuel J. Camus
    View author publications

    You can also search for this author in PubMed Google Scholar

  35. Riccardo Luchetti
    View author publications

    You can also search for this author in PubMed Google Scholar

  36. Adrian Julian Chojnowski
    View author publications

    You can also search for this author in PubMed Google Scholar

  37. Joerg G. Gruenert
    View author publications

    You can also search for this author in PubMed Google Scholar

  38. Piotr Czarnecki
    View author publications

    You can also search for this author in PubMed Google Scholar

  39. Fernando Corella
    View author publications

    You can also search for this author in PubMed Google Scholar

  40. Ladislav Nagy
    View author publications

    You can also search for this author in PubMed Google Scholar

  41. Michiro Yamamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  42. Igor O. Golubev
    View author publications

    You can also search for this author in PubMed Google Scholar

  43. Jörg van Schoonhoven
    View author publications

    You can also search for this author in PubMed Google Scholar

  44. Florian Goehtz
    View author publications

    You can also search for this author in PubMed Google Scholar

  45. Iwona Sudoł-Szopińska
    View author publications

    You can also search for this author in PubMed Google Scholar

  46. Tobias Johannes Dietrich
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Luis Cerezal.

Ethics declarations

Guarantor

The scientific guarantor of this publication is Luis Cerezal (first author), Iwona Sudoł-Szopińska and Tobias Dietrich (senior authors).

Conflict of interest

The authors of this manuscript declare no relationships with any companies whose products or services may be related to the subject matter of the article.

Statistics and biometry

Małgorzata Mańczak kindly provided statistical advice for this manuscript.

Informed consent

Written informed consent was not required for this study because neither patients nor volunteers were directly included as participants.

Ethical approval

Institutional Review Board approval was not required because required because patients nor volunteers were directly included as participants. Thus, Institutional Review Board approval was not required because the present study fulfills the conditions for not requiring official approval for operation according the Swiss Federal Act on Research Involving Human Beings (Human Research Act).

Methodology

• prospective

• not applicable

• multicenter study

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 116 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cerezal, L., del Piñal, F., Atzei, A. et al. Interdisciplinary consensus statements on imaging of DRUJ instability and TFCC injuries. Eur Radiol 33, 6322–6338 (2023). https://doi.org/10.1007/s00330-023-09698-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-023-09698-7

Keywords

Search

Navigation