{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:33:09Z","timestamp":1777926789656,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1181","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the diagnostic value of MRI combined with distal radioulnar joint (DRUJ) stability characteristics and ulnar styloid bone marrow oedema (BMO) in differentiating peripheral vs. central triangular fibrocartilage complex (TFCC) injuries, and to establish a multiparametric MRI diagnostic model to optimize preoperative classification accuracy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of 76 patients with arthroscopically confirmed TFCC injuries (55 peripheral tears, 21 central tears) was conducted. Preoperative MRI evaluated DRUJ stability and BMO. Chi-square tests analysed intergroup differences, binary logistic regression identified predictors, diagnostic efficacy metrics were calculated, and MRI-based classification, DRUJ stability, BMO, and combined models were compared using arthroscopy as the gold standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The peripheral tear group exhibited significantly higher BMO positivity (82.9% vs. 11.1%) and DRUJ instability rates (70.9% vs. 9.5%) compared to the central tear group (both P\u2009&amp;lt;\u2009.001). Logistic regression identified BMO positivity (OR\u2009=\u20090.140, 95% CI: 0.044-0.444) and DRUJ instability (OR\u2009=\u20090.103, 95% CI: 0.013-0.428) as independent predictors of peripheral tears (P\u2009=\u2009.001). The combined model (MRI + DRUJ + BMO) demonstrated superior diagnostic performance (AUC\u2009=\u20090.898, 95% CI: 0.818-0.978; sensitivity\u2009=\u200976.2%, specificity\u2009=\u200994.6%) compared to MRI alone (AUC\u2009=\u20090.810) or DRUJ + BMO models (AUC\u2009=\u20090.822).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The combined model integrating anatomic stability improves diagnostic specificity, providing critical guidance for preoperative stratification, surgical planning, and personalized treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Advances in knowledge<\/jats:title>\n                    <jats:p>BMO and DRUJ stability hold potential as supplementary MRI imaging biomarkers for TFCC injuries classification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjr\/tqaf300","type":"journal-article","created":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T07:16:38Z","timestamp":1772694998000},"page":"872-877","source":"Crossref","is-referenced-by-count":0,"title":["Distal radioulnar joint stability and ulnar styloid bone marrow oedema: the added value of MRI in triangular fibrocartilage complex injuries"],"prefix":"10.1093","volume":"99","author":[{"given":"Liu","family":"Huli","sequence":"first","affiliation":[{"name":"Department of Radiology, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University , Wuxi, Jiangsu 214000,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tang","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University , Wuxi, Jiangsu 214000,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xie","family":"Qianyun","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University , Wuxi, Jiangsu 214000,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhang","family":"Chenchen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University , Wuxi, Jiangsu 214000,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Ying","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wuxi Ninth People\u2019s Hospital Affiliated to Soochow University , Wuxi, Jiangsu 214000,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,4]]},"reference":[{"key":"2026050118213047100_tqaf300-B1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1097\/jsa.0000000000000366","article-title":"Advances in the repair of palmer type IB TFCC injuries with wrist arthroscopy","volume":"31","author":"Jin","year":"2023","journal-title":"Sports Med Arthrosc Rev"},{"key":"2026050118213047100_tqaf300-B2","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/s12891-023-07140-z","article-title":"Diagnostic value of MRI in traumatic triangular fibrocartilage complex injuries: a retrospective study","volume":"25","author":"Zhao","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"key":"2026050118213047100_tqaf300-B3","doi-asserted-by":"publisher","first-page":"e220109","DOI":"10.1148\/rg.220109","article-title":"Distal radioulnar joint: normal anatomy, imaging of common disorders, and injury classification","volume":"43","author":"Flores","year":"2023","journal-title":"Radiographics"},{"key":"2026050118213047100_tqaf300-B4","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1016\/0363-5023(89)90174-3","article-title":"Triangular fibrocartilage complex lesions: a classification","volume":"14","author":"Palmer","year":"1989","journal-title":"J Hand Surg Am"},{"key":"2026050118213047100_tqaf300-B5","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1177\/1753193416687479","article-title":"Classification of ulnar triangular fibrocartilage complex tears. A treatment algorithm for palmer type IB tears","volume":"42","author":"Atzei","year":"2017","journal-title":"J Hand Surg Eur Vol"},{"key":"2026050118213047100_tqaf300-B6","doi-asserted-by":"publisher","first-page":"1063.e1061","DOI":"10.1016\/j.jhsa.2022.03.010","article-title":"Foveal triangular fibrocartilage complex tears: recognition of a combined tear pattern","volume":"48","author":"Minhas","year":"2023","journal-title":"J Hand Surg Am"},{"key":"2026050118213047100_tqaf300-B7","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1302\/0301-620x.105b1.Bjj-2022-0908.R1","article-title":"Structurally intact and functionally incompetent foveal triangular fibrocartilage complex injuries: an under-recognized spectrum of injury","volume":"105","author":"Crowe","year":"2023","journal-title":"Bone Joint J"},{"key":"2026050118213047100_tqaf300-B8","doi-asserted-by":"publisher","first-page":"e086102","DOI":"10.1136\/bmjopen-2024-086102","article-title":"tREatment of trIaNgular FibrOcaRtilage ComplEx ruptures (REINFORCER): protocol for randomised, controlled, blinded, efficacy trial of triangular fibrocartilage complex tears","volume":"14","author":"Kaivorinne","year":"2024","journal-title":"BMJ Open"},{"key":"2026050118213047100_tqaf300-B9","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1016\/s0266-7681(03)00136-0","article-title":"The shape of the triangular fibrocartilage during pronation-supination","volume":"28","author":"Makita","year":"2003","journal-title":"J Hand Surg Br"},{"key":"2026050118213047100_tqaf300-B10","doi-asserted-by":"publisher","first-page":"96.e91","DOI":"10.1016\/j.jhsa.2023.05.004","article-title":"All-inside versus outside-in repair of triangular fibrocartilage complex peripheral tears","volume":"50","author":"Fones","year":"2025","journal-title":"J Hand Surg Am"},{"key":"2026050118213047100_tqaf300-B11","doi-asserted-by":"publisher","first-page":"3172","DOI":"10.1007\/s00330-023-09446-x","article-title":"Extensor carpi ulnaris tendon pathology and ulnar styloid bone marrow edema as diagnostic markers of peripheral triangular fibrocartilage complex tears on wrist MRI: a case-control study","volume":"33","author":"Nevalainen","year":"2023","journal-title":"Eur Radiol"},{"key":"2026050118213047100_tqaf300-B12","doi-asserted-by":"publisher","first-page":"20170167","DOI":"10.1259\/bjr.20170167","article-title":"Cartilage quantification using contrast-enhanced MRI in the wrist of rheumatoid arthritis: cartilage loss is associated with bone marrow edema","volume":"90","author":"Fujimori","year":"2017","journal-title":"Br J Radiol"},{"key":"2026050118213047100_tqaf300-B13","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1007\/s00402-021-04329-6","article-title":"Diagnostic accuracy of wrist MRI in comparison to wrist arthroscopy regarding TFCC lesions in clinical practice","volume":"142","author":"Spies","year":"2022","journal-title":"Arch Orthop Trauma Surg"}],"container-title":["British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/advance-article-pdf\/doi\/10.1093\/bjr\/tqaf300\/67234993\/tqaf300.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/99\/1181\/872\/67234993\/tqaf300.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/99\/1181\/872\/67234993\/tqaf300.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:21:38Z","timestamp":1777674098000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/99\/1181\/872\/8506508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,4]]},"references-count":13,"journal-issue":{"issue":"1181","published-online":{"date-parts":[[2026,3,4]]},"published-print":{"date-parts":[[2026,5,1]]}},"URL":"https:\/\/doi.org\/10.1093\/bjr\/tqaf300","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,3,4]]}}}