Wade, RG orcid.org/0000-0001-8365-6547, Itte, V, Rankine, JJ et al. (2 more authors) (2018) The diagnostic accuracy of 1.5T magnetic resonance imaging for detecting root avulsions in traumatic adult brachial plexus injuries. Journal of Hand Surgery: European Volume, 43 (3). pp. 250-258. ISSN 1753-1934
Abstract
Identification of root avulsions is of critical importance in traumatic brachial plexus injuries because it alters the reconstruction and prognosis. Pre-operative magnetic resonance imaging is gaining popularity, but there is limited and conflicting data on its diagnostic accuracy for root avulsion. This cohort study describes consecutive patients requiring brachial plexus exploration following trauma between 2008 and 2016. The index test was magnetic resonance imaging at 1.5 Tesla and the reference test was operative exploration of the supraclavicular plexus. Complete data from 29 males was available. The diagnostic accuracy of magnetic resonance imaging for root avulsion(s) of C5-T1 was 79%. The diagnostic accuracy of a pseudomeningocoele as a surrogate marker of root avulsion(s) of C5-T1 was 68%. We conclude that pseudomeningocoles were not a reliable sign of root avulsion and magnetic resonance imaging has modest diagnostic accuracy for root avulsions in the context of adult traumatic brachial plexus injuries.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | (c) The Author(s) 2017. This is an author produced version of a paper published in Journal of Hand Surgery (European Volume). Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Root avulsion; pre-ganglionic; brachial plexus; magnetic resonance imaging; sensitivity; specificity; diagnostic test accuracy |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Genetics, Health and Therapeutics (LIGHT) > Academic Unit of Medical Physics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Trans Anaesthetics & Surgical Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Sep 2017 11:24 |
Last Modified: | 28 Mar 2018 12:29 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/1753193417729587 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:121272 |