{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T08:14:05Z","timestamp":1767860045630,"version":"3.49.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004853","name":"Chinese University of Hong Kong","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004853","id-type":"DOI","asserted-by":"publisher"}]},{"name":"HKSAR Research Matching Grant Scheme"},{"name":"Kai Chong Tong"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Skeletal Radiol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To study the effect of direct wrist traction on patient pain and joint distraction on MRI.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>291 patients (109 males, 182 females; mean age, 45.8\u00a0years) who underwent wrist MRI between November 2019 and September 2024 were studied (152 patients with traction, 139 patients without traction). All patients completed a questionnaire assessing wrist pain scores before, during, and ten minutes after MRI examination. Joint space width and cartilage visibility of the radiocarpal and intercarpal joints were assessed. For patients with arthroscopy within one year after MRI, diagnostic accuracy of intrinsic ligament and triangular fibrocartilage complex tears was assessed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Fifty-seven (38%) of 152 traction patients had an average increase of 1 point (range, 0\u2009~\u20092) in wrist pain following traction compared to 24 (17%) of 139 non-traction patients (<jats:italic>p<\/jats:italic>\u2009=\u20090.085). 44% traction patients and 38% non-traction patients reported non-wrist pain (mainly shoulder, neck), with no inter-group difference in location, prevalence, or pain score (all <jats:italic>p<\/jats:italic> values\u2009&gt;\u20090.05). Average joint space width was 0.6\u00a0mm wider in the traction group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). On average, eighty-five (60%) of 141 traction patients had \u2018moderate\u2019 or \u2018good\u2019 articular cartilage visibility compared to 22 (17%) of 126 non-traction patients (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Traction tended to increase diagnostic accuracy for intrinsic ligament tear, though it did not reach statistical significance (<jats:italic>p<\/jats:italic>\u2009=\u20090.136).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Compared to wrist MRI without traction, traction increases joint space width and improves cartilage visibility, though with a slight increase in wrist pain.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00256-024-04842-w","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T01:06:32Z","timestamp":1733274392000},"page":"1407-1415","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Direct traction MR imaging of the wrist: practical experience"],"prefix":"10.1007","volume":"54","author":[{"given":"Miaoru","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefanie W. Y.","family":"Yip","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David K. W.","family":"Yeung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5206-9382","authenticated-orcid":false,"given":"James F.","family":"Griffith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"4842_CR1","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.mri.2012.06.024","volume":"31","author":"YH Lee","year":"2013","unstructured":"Lee YH, Choi YR, Kim S, Song H-T, Suh J-S. 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. 2013;31:221\u20136.","journal-title":"Magn Reson Imaging"},{"key":"4842_CR2","doi-asserted-by":"publisher","first-page":"155","DOI":"10.2214\/AJR.15.14948","volume":"206","author":"RKL Lee","year":"2016","unstructured":"Lee RKL, Griffith JF, Ng AWH, Nung RCH, Yeung DKW. Wrist Traction During MR Arthrography Improves Detection of Triangular Fibrocartilage Complex and Intrinsic Ligament Tears and Visibility of Articular Cartilage. Am J Roentgenol. 2016;206:155\u201361.","journal-title":"Am J Roentgenol"},{"key":"4842_CR3","doi-asserted-by":"publisher","first-page":"e582","DOI":"10.1016\/j.ejrad.2013.04.039","volume":"82","author":"M Cerny","year":"2013","unstructured":"Cerny M, Marlois R, Theumann N, Bollmann C, Wehrli L, Richarme D, et al. 3-T direct MR arthrography of the wrist: Value of finger trap distraction to assess intrinsic ligament and triangular fibrocartilage complex tears. Eur J Radiol. 2013;82:e582\u20139.","journal-title":"Eur J Radiol"},{"key":"4842_CR4","doi-asserted-by":"publisher","first-page":"20160932","DOI":"10.1259\/bjr.20160932","volume":"90","author":"RKL Lee","year":"2017","unstructured":"Lee RKL, Griffith JF, Tang WK, Ng AWH, Yeung DKW. Effect of traction on wrist joint space and cartilage visibility with and without MR arthrography. BJR. 2017;90:20160932.","journal-title":"BJR"},{"key":"4842_CR5","doi-asserted-by":"publisher","first-page":"1356","DOI":"10.1097\/00000542-200112000-00013","volume":"95","author":"CA Bodian","year":"2001","unstructured":"Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology. 2001;95:1356\u201361.","journal-title":"Anesthesiology"},{"key":"4842_CR6","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1002\/jmri.22615","volume":"34","author":"D Guntern","year":"2011","unstructured":"Guntern D, Becce F, Richarme D, Palhais NS, Meuli R, Theumann N. Direct magnetic resonance arthrography of the wrist with axial traction: A feasibility study to assess joint cartilage. J Magn Reson Imaging. 2011;34:239\u201344.","journal-title":"J Magn Reson Imaging"},{"key":"4842_CR7","doi-asserted-by":"publisher","first-page":"72","DOI":"10.5334\/jbr-btr.918","volume":"100","author":"B Dallaudi\u00e8re","year":"2016","unstructured":"Dallaudi\u00e8re B, Moreau-Durieux M-H, Larbi A, Perozziello A, Huot P, Meyer P, et al. Effects of Axial Traction during Direct MR-Arthrography of the Wrist in Sports Injuries. J Belg Soc Radiol. 2016;100:72.","journal-title":"J Belg Soc Radiol"},{"key":"4842_CR8","first-page":"e22421","volume":"14","author":"A Ikumi","year":"2022","unstructured":"Ikumi A, Kohyama S, Okuwaki S, Tatsumura M, Hara Y, Mammoto T, et al. Effects of Magnetic Resonance Imaging With Axial Traction of the Thumb Carpometacarpal Joint on Articular Cartilage Visibility: A Feasibility Study. Cureus. 2022;14:e22421.","journal-title":"Cureus"},{"key":"4842_CR9","doi-asserted-by":"publisher","first-page":"80","DOI":"10.2214\/AJR.08.1089","volume":"192","author":"T Magee","year":"2009","unstructured":"Magee T. Comparison of 3-T MRI and arthroscopy of intrinsic wrist ligament and TFCC tears. AJR Am J Roentgenol. 2009;192:80\u20135.","journal-title":"AJR Am J Roentgenol"}],"container-title":["Skeletal Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-024-04842-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00256-024-04842-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00256-024-04842-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:41:12Z","timestamp":1747269672000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00256-024-04842-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,4]]},"references-count":9,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["4842"],"URL":"https:\/\/doi.org\/10.1007\/s00256-024-04842-w","relation":{},"ISSN":["0364-2348","1432-2161"],"issn-type":[{"value":"0364-2348","type":"print"},{"value":"1432-2161","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,4]]},"assertion":[{"value":"10 June 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 November 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 November 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 December 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare that they have no conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This retrospective study was endorsed by the local New Territories East Cluster-Prince of Wales Hospital (NTEC-PWH) Clinical Research Ethics Committee. Signed consent forms were obtained from all patients.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"IRB approval"}}]}}