OBJECTIVE To compare magnetic resonance imaging (MRI), conventional radiography, and ultrasonography in identifying bone erosions in patients with juvenile idiopathic arthritis (JIA), and to determine the validity and reliability of an MRI scale in detecting and grading joint damage. METHODS In 26 JIA patients, the clinically more affected wrist was studied with MRI, radiography, and ultrason...

BACKGROUND Giant cell tumors (GCTs) located in the distal radius are likely to recur, and the treatment of such recurrent tumors is very difficult. Here, we report our clinical experience in distal radius reconstruction with vascularized proximal fibular autografts after en-bloc excision of the entire distal radius in 17 patients with recurrent GCT (RGCT) of the distal radius. METHODS All 17 ...

Objectives: By MRI to assess the efficacy of addition of anakinra for controlling synovitis and stopping erosive progression in patients with clinically active RA despite receiving methotrexate, and to determine the predictive value of MRI for subsequent radiographic erosive progression. Methods: 100 mg anakinra subcutaneously/day was added to the treatment of 17 patients with clinically active...

A 50-year-old man, right-handed farmer, was admitted to the emergency department after undergoing an agriculture accident. Physical examination on admission revealed a left wrist disarticulation with a deformity of the ipsilateral elbow and forearm (A and B). Plain radiography showed a fracture of the ulna shaft as well as dislocation of the radial head. This radiological finding, also called M...

Methods patients with JIA and active wrist arthritis who started receiving a second line therapy (DMARDs or biological agent) at the study Unit between 2008 and 2010 were enrolled in the study. The clinically more affected wrist was studied with MRI (1.5 T), US and conventional radiography (CR), coupled with standard clinical assessment at the study enrollment and after 1 year. Patients were ch...

The authors report a rare case of the bilateral floating forearm in a 25year-old man , who presented the combination of injuries after a fall from third floor; The bilateral dislocation of the elbow and fracture –dislocation of two wrists .The elbows were reduced orthopedically and the right wrist was treated with external fixator and pinning in the left wrist. At twelve months the patient only...

INTRODUCTION Scaphoid fracture is the most common fracture among the bones of the wrist. Plain radiography has a sensitivity of 59 to 79 percent for the diagnosis of scaphoid fracture after injury. Casting is done to avoid complications in patients with suspected fractures with normal radiography. Magnetic resonance imaging (MRI) has a sensitivity of 100% and a specificity of 99%. To avoid unne...

BACKGROUND To investigate the performance of conventional radiography (CR) for the detection of bone erosions of wrist in rheumatoid arthritis (RA) using multidetector computed tomography (CT) as the reference method and to evaluate the validity of a computer-assisted manual segmentation (outlining) technique to quantify erosion volume on CT scans. METHODS Twenty five RA patients and six cont...

OBJECTIVES Assessment of pubertal status and pubertal growth spurt in orthodontic patients has a considerable impact on the diagnosis, treatment plan and the outcome of orthodontic treatments. Hand-wrist radiography is routinely used to evaluate skeletal development. Some studies have shown that there is an association between bone development and different stages of dental calcification; there...