{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T19:50:41Z","timestamp":1648669841213},"reference-count":15,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2016,8,5]],"date-time":"2016-08-05T00:00:00Z","timestamp":1470355200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/legalcode"}],"content-domain":{"domain":["openorthopaedicsjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TOORTHJ"],"published-print":{"date-parts":[[2016,8,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although subspecialist orthopaedic surgeons usually request Magnetic Resonance Arthrogram (MRA) examinations, some orthopaedic surgeons may request this examination for a body part that is different from their subspecialty. The purpose of the study is to compare the MRA and the clinical findings in the subspecialist and non-subspecialist groups.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Retrospective analysis of MRA examinations over a 6-month period. Findings were compared with the clinical information.<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 144 examinations (69 shoulder, 42 wrist and 33 hip). 85% of these were subspecialist referrals; 60% of them showed findings compatible with the clinical diagnosis. 15% of the MRA examinations were non-subspecialist referrals; 52% of them correlated with the clinical findings.<\/jats:p>\n                    <jats:p>Overall, clinical information agreed with MRA findings for shoulder labral tears, hip labral tears and wrist triangular fibrocartilage complex tears in 63.3%, 64.5% and 61.5% respectively. The subspecialist group were more accurate than the non-subspecialist group in diagnosing hip labral tears (68% <jats:italic>vs<\/jats:italic>. 50%) and triangular fibrocartilage complex tears (62.5% <jats:italic>vs<\/jats:italic>. 50%). On the contrary, shoulder MRA and clinical findings correlated better in the non-subspecialist group (77.8%) compared to the subspecialist group (63.3%). However, the small number of requests generated by the non-subspecialist group may affect the results. Suspected scapholunate ligament injury showed low correlation with MRA at 26.7% (33.3% in the subspecialist group and 0% in the non-subspecialist group).<\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Generally, the clinical findings are more accurate in the subspecialist referrals when compared to MRA findings and therefore a subspecialist referral is preferred. The low agreement between clinically suspected scapholunate ligament injuries and wrist MRA probably reflects the relative difficulty in establishing this diagnosis clinically.<\/jats:p>\n                <\/jats:sec>","DOI":"10.2174\/1874325001610010375","type":"journal-article","created":{"date-parts":[[2016,8,8]],"date-time":"2016-08-08T08:20:20Z","timestamp":1470644420000},"page":"375-381","update-policy":"http:\/\/dx.doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Magnetic Resonance Arthrogram Referrals by Subspecialist and Non-Subspecialist Orthopaedic Surgeons: What are the Findings?"],"prefix":"10.2174","volume":"10","author":[{"given":"Zeid","family":"Al-Ani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Beardmore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinay","family":"Parmar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teik","family":"Chooi Oh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1148\/radiology.197.3.7480762","volume":"197","author":"Palmer W.E.","year":"1995","unstructured":"Palmer WE, Caslowitz PL. \n                    Anterior shoulder instability: diagnostic criteria determined from prospective analysis of 121 MR arthrograms. \n                    Radiology  \n                    1995; \n                    197\n                    (3)\n                    : 819-25.","journal-title":"Radiology"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.2214\/ajr.161.6.8249731","volume":"161","author":"Chandnani V.P.","year":"1993","unstructured":"Chandnani VP, Yeager TD, DeBerardino T, et al. \n                    Glenoid labral tears: prospective evaluation with MRI imaging, MR arthrography, and CT arthrography. \n                    AJR Am J Roentgenol  \n                    1993; \n                    161\n                    (6)\n                    : 1229-35.","journal-title":"AJR Am. 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