How to Report: Wrist MRI

Wing Hung Alex Ng; James Francis Griffith; Isaac Sung Him Ng

doi:10.1055/s-0041-1736313

Seminars in Musculoskeletal Radiology, Table of Contents

Semin Musculoskelet Radiol 2021; 25(05): 670-680
DOI: 10.1055/s-0041-1736313

Review Article

How to Report: Wrist MRI

Wing Hung Alex Ng

¹Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China

,

James Francis Griffith

¹Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong, China

,

Isaac Sung Him Ng

²Cardiff Sixth Form College, Wales, United Kingdom

› Author Affiliations

Abstract

Knowledge of the imaging anatomy of the wrist is essential for reporting magnetic resonance imaging (MRI). This familiarity should include the carpal bones, tendons (extensor and flexor compartments), triangular fibrocartilage complex (TFCC), intrinsic and extrinsic ligaments, and nerves, especially the median and ulnar nerves. Limitations of MRI in visualizing these structures, particularly the intrinsic ligaments and the TFCC, need to be considered. This article outlines the main features to comment on when reporting common conditions of the wrist on MRI, with some examples of terminology that can be used to describe these abnormalities.

Keywords

magnetic resonance imaging - wrist - tendon - triangular fibrocartilage complex - ganglion

Full Text

References

References
1 Resnick D. Roentgenographic anatomy of the tendon sheaths of the hand and wrist: tenography. Am J Roentgenol Radium Ther Nucl Med 1975; 124 (01) 44-51
2 Lok RL, Griffith JF, Ng AW, Wong CW. Imaging of radial wrist pain. Part II: pathology. Skeletal Radiol 2014; 43 (06) 725-743
3 Aguiar RO, Gasparetto EL, Escuissato DL. et al. Radial and ulnar bursae of the wrist: cadaveric investigation of regional anatomy with ultrasonographic-guided tenography and MR imaging. Skeletal Radiol 2006; 35 (11) 828-832
4 Daenen B, Houben G, Bauduin E, Debry R, Magotteaux P. Sonography in wrist tendon pathology. J Clin Ultrasound 2004; 32 (09) 462-469
5 Rubin DA. MRI and ultrasound of the hands and wrists in rheumatoid arthritis. I. Imaging findings. Skeletal Radiol 2019; 48 (05) 677-695
6 Clarke MT, Lyall HA, Grant JW, Matthewson MH. The histopathology of de Quervain's disease. J Hand Surg [Br] 1998; 23 (06) 732-734
7 Kuo YL, Hsu CC, Kuo LC. et al. Inflammation is present in de Quervain disease—correlation study between biochemical and histopathological evaluation. Ann Plast Surg 2015; 74 (Suppl. 02) S146-S151
8 Chhabra A, Soldatos T, Thawait GK. et al. Current perspectives on the advantages of 3-T MR imaging of the wrist. Radiographics 2012; 32 (03) 879-896
9 Plotkin B, Sampath SC, Sampath SC, Motamedi K. MR imaging and US of the wrist tendons. Radiographics 2016; 36 (06) 1688-1700
10 Vassa R, Garg A, Omar IM. Magnetic resonance imaging of the wrist and hand. Pol J Radiol 2020; 85: e461-e488
11 Lisle DA, Shepherd GJ, Cowderoy GA, O'Connell PT. MR imaging of traumatic and overuse injuries of the wrist and hand in athletes. Magn Reson Imaging Clin N Am 2009; 17 (04) 639-654 , vi
12 Vasanth LC, Foo LF, Potter HG. et al. Using magnetic resonance angiography to measure abnormal synovial blood vessels in early inflammatory arthritis: a new imaging biomarker?. J Rheumatol 2010; 37 (06) 1129-1135
13 Parellada AJ, Morrison WB, Reiter SB. et al. Flexor carpi radialis tendinopathy: spectrum of imaging findings and association with triscaphe arthritis. Skeletal Radiol 2006; 35 (08) 572-578
14 Coggins CA. Imaging of ulnar-sided wrist pain. Clin Sports Med 2006; 25 (03) 505-526 , vii
15 Meraj S, Gyftopoulos S, Nellans K, Walz D, Brown MS. MRI of the extensor tendons of the wrist. AJR Am J Roentgenol 2017; 209 (05) 1093-1102
16 Chang CY, Kheterpal AB, Vicentini JRT, Huang AJ. Variations of anatomy on MRI of the first extensor compartment of the wrist and association with de Quervain tenosynovitis. Skeletal Radiol 2017; 46 (08) 1047-1056
17 Nagy L. Salvage of post-traumatic arthritis following distal radius fracture. Hand Clin 2005; 21 (03) 489-498
18 Xiao F, Griffith JF, Ko JKL. et al. MRI wrist in early rheumatoid arthritis: reduction in inflammation assessed quantitatively during treatment period correlates best with clinical improvement. Skeletal Radiol 2021; 50 (07) 1337-1345
19 Xiao F, Griffith JF, Hilkens AL. et al. ERAMRS: a new MR scoring system for early rheumatoid arthritis of the wrist. Eur Radiol 2019; 29 (10) 5646-5654
20 Lauder J, Younis F, Khan SH. Imaging of ulnar-sided wrist pain. Br J Hosp Med (Lond) 2019; 80 (08) 461-465
21 Ng AWH, Griffith JF, Fung CSY. et al. MR imaging of the traumatic triangular fibrocartilaginous complex tear. Quant Imaging Med Surg 2017; 7 (04) 443-460
22 Cerezal L, del Piñal F, Abascal F. MR imaging findings in ulnar-sided wrist impaction syndromes. Magn Reson Imaging Clin N Am 2004; 12 (02) 281-299 , vi
23 Mutimer J, Green J, Field J. Comparison of MRI and wrist arthroscopy for assessment of wrist cartilage. J Hand Surg Eur Vol 2008; 33 (03) 380-382
24 Allmann KH, Horch R, Uhl M. et al. MR imaging of the carpal tunnel. Eur J Radiol 1997; 25 (02) 141-145
25 Bordalo-Rodrigues M, Amin P, Rosenberg ZS. MR imaging of common entrapment neuropathies at the wrist. Magn Reson Imaging Clin N Am 2004; 12 (02) 265-279 , vi
26 Ibrahim I, Khan WS, Goddard N, Smitham P. Carpal tunnel syndrome: a review of the recent literature. Open Orthop J 2012; 6: 69-76
27 Wong SM, Griffith JF, Hui AC, Lo SK, Fu M, Wong KS. Carpal tunnel syndrome: diagnostic usefulness of sonography. Radiology 2004; 232 (01) 93-99
28 Yesildag A, Kutluhan S, Sengul N. et al. The role of ultrasonographic measurements of the median nerve in the diagnosis of carpal tunnel syndrome. Clin Radiol 2004; 59 (10) 910-915
29 Jablecki CK, Andary MT, So YT, Wilkins DE, Williams FH. AAEM Quality Assurance Committee. Literature review of the usefulness of nerve conduction studies and electromyography for the evaluation of patients with carpal tunnel syndrome. Muscle Nerve 1993; 16 (12) 1392-1414
30 Radack DM, Schweitzer ME, Taras J. Carpal tunnel syndrome: are the MR findings a result of population selection bias?. AJR Am J Roentgenol 1997; 169 (06) 1649-1653
31 Rempel D, Evanoff B, Amadio PC. et al. Consensus criteria for the classification of carpal tunnel syndrome in epidemiologic studies. Am J Public Health 1998; 88 (10) 1447-1451
32 Ng AWH, Griffith JF, Tong CSL. et al. MRI criteria for diagnosis and predicting severity of carpal tunnel syndrome. Skeletal Radiol 2020; 49 (03) 397-405
33 Lee RKL, Griffith JF, Ng AWH. et al. Cross-sectional area of the median nerve at the wrist: comparison of sonographic, MRI, and cadaveric measurements. J Clin Ultrasound 2019; 47 (03) 122-127
34 Tsujii M, Hirata H, Morita A, Uchida A. Palmar bowing of the flexor retinaculum on wrist MRI correlates with subjective reports of pain in carpal tunnel syndrome. J Magn Reson Imaging 2009; 29 (05) 1102-1105
35 Campagna R, Pessis E, Feydy A. et al. MRI assessment of recurrent carpal tunnel syndrome after open surgical release of the median nerve. AJR Am J Roentgenol 2009; 193 (03) 644-650
36 Ng AWH, Griffith JF, Tsai CSC, Tse WL, Mak M, Ho PC. MRI of the carpal tunnel 3 and 12 months after endoscopic carpal tunnel release. AJR Am J Roentgenol 2021; 216 (02) 464-470
37 Zlatkin MB, Rosner J. MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am 2004; 12 (02) 301-331 , vi–vii
38 Ng AWH, Tong CSL, Hung EHY. et al. Top-ten tips for imaging the triangular fibrocartilaginous complex. Semin Musculoskelet Radiol 2019; 23 (04) 436-443
39 Bittersohl B, Huang T, Schneider E. et al. High-resolution MRI of the triangular fibrocartilage complex (TFCC) at 3T: comparison of surface coil and volume coil. J Magn Reson Imaging 2007; 26 (03) 701-707
40 Szabo RM. Distal radioulnar joint instability. J Bone Joint Surg Am 2006; 88 (04) 884-894
41 DaSilva MF, Goodman AD, Gil JA, Akelman E. Evaluation of ulnar-sided wrist pain. J Am Acad Orthop Surg 2017; 25 (08) e150-e156
42 Feydy A, Pluot E, Guerini H, Drapé JL. Osteoarthritis of the wrist and hand, and spine. Radiol Clin North Am 2009; 47 (04) 723-759
43 Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 1989; 14 (04) 594-606
44 Oneson SR, Scales LM, Timins ME, Erickson SJ, Chamoy L. MR imaging interpretation of the Palmer classification of triangular fibrocartilage complex lesions. Radiographics 1996; 16 (01) 97-106
45 Oneson SR, Timins ME, Scales LM, Erickson SJ, Chamoy L. MR imaging diagnosis of triangular fibrocartilage pathology with arthroscopic correlation. AJR Am J Roentgenol 1997; 168 (06) 1513-1518
46 Iordache SD, Rowan R, Garvin GJ, Osman S, Grewal R, Faber KJ. Prevalence of triangular fibrocartilage complex abnormalities on MRI scans of asymptomatic wrists. J Hand Surg Am 2012; 37 (01) 98-103
47 Potter HG, Asnis-Ernberg L, Weiland AJ, Hotchkiss RN, Peterson MG, McCormack Jr RR. The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am 1997; 79 (11) 1675-1684
48 Lee RK, Ng AW, Tong CS. et al. Intrinsic ligament and triangular fibrocartilage complex tears of the wrist: comparison of MDCT arthrography, conventional 3-T MRI, and MR arthrography. Skeletal Radiol 2013; 42 (09) 1277-1285
49 Lee RK, Griffith JF, Ng AW, Nung RC, Yeung DK. Wrist traction during MR arthrography improves detection of triangular fibrocartilage complex and intrinsic ligament tears and visibility of articular cartilage. AJR Am J Roentgenol 2016; 206 (01) 155-161
50 Haims AH, Schweitzer ME, Morrison WB. et al. Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol 2002; 178 (02) 419-422
51 Lowden CM, Attiah M, Garvin G, Macdermid JC, Osman S, Faber KJ. The prevalence of wrist ganglia in an asymptomatic population: magnetic resonance evaluation. J Hand Surg [Br] 2005; 30 (03) 302-306
52 Gude W, Morelli V. Ganglion cysts of the wrist: pathophysiology, clinical picture, and management. Curr Rev Musculoskelet Med 2008; 1 (3–4): 205-211
53 Nguyen V, Choi J, Davis KW. Imaging of wrist masses. Curr Probl Diagn Radiol 2004; 33 (04) 147-160
54 Watanabe A, Souza F, Vezeridis PS, Blazar P, Yoshioka H. Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiol 2010; 39 (09) 837-857