title: MRI diagnosis of carpal boss and comparison with radiography.
abstract: Background A carpal boss is a potentially painful bony mass in the region of the second or third carpometacarpal joint. The combination of clinical examination and radiography is usually sufficient for the diagnosis. Purpose To determine whether magnetic resonance imaging (MRI) examination of the quadrangular joint can assist the diagnosis of persistent pain near a carpal boss. Material and Methods Fifty-seven patients with a carpal boss were retrospectively reviewed using MRI and conventional radiographs and compared to an asymptomatic control group. Results MRI demonstrated a variable morphology and a variety of bone and soft tissue abnormalities associated with carpal boss. Bone marrow edema around the quadrangular joint shows a significant correlation (Fisher's exact test: P < 0.001) and a positive correlation (Pearson's test r = 0.632, significant at the 0.01 level [two-tailed]) with a painful carpal boss. Conclusion MRI offers detailed examination of bone and soft tissue abnormalities associated with a carpal boss. Local bone marrow edema strongly correlates with a painful carpal boss.
authors.affiliation: 1 Department of Radiology, St.-Maarten General Hospital, Mechelen, Belgium.|2 Department of Radiology, Ghent University, Ghent, Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Mespreuve
authors.affiliation: 3 Orthopaedic and Hand Surgery, Leuven University, Leuven, Belgium.
authors.forename: Luc
authors.initials: L
authors.lastname: De Smet
authors.affiliation: 1 Department of Radiology, St.-Maarten General Hospital, Mechelen, Belgium.
authors.forename: Kristof
authors.initials: K
authors.lastname: De Cuyper
authors.affiliation: 4 Department of Surgery, Ghent University, Ghent, Belgium.
authors.forename: Karl
authors.initials: K
authors.lastname: Waked
authors.affiliation: 1 Department of Radiology, St.-Maarten General Hospital, Mechelen, Belgium.|2 Department of Radiology, Ghent University, Ghent, Belgium.|5 Department of Radiology, Antwerp University, Antwerp, Belgium.
authors.forename: Filip
authors.initials: F
authors.lastname: Vanhoenacker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001847:Bone Diseases / Q000000981:diagnostic imaging*; D052737:Carpometacarpal Joints / Q000000981:diagnostic imaging*; D002648:Child; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011859:Radiography / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Carpal boss; magnetic resonance imaging (MRI); os styloideum; radiography