Semin Musculoskelet Radiol 2001; 05(3): 227-234
DOI: 10.1055/s-2001-17544
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

High-Resolution Outpatient Imaging of the Wrist

Eric P. Weinberg, Gary M. Hollenberg, Mark J. Adams, Raymond K. Tan, Michael J. Lechner
  • Department of Radiology, University of Rochester Medical Center, Rochester, NY
Further Information

Publication History

Publication Date:
01 October 2001 (online)

ABSTRACT

The authors describe their experience with magnetic resonance imaging (MRI) in the evaluation of pathologic conditions of the wrist in an outpatient setting. In that setting, because time and quality are both important factors, they have concentrated on developing protocols that will allow effective, time-efficient, high-resolution MRI of the wrist. With these wrist imaging protocols, they have evaluated the majority of commonly encountered pathologic conditions of the wrist. They have found that high-resolution images, which can be acquired in a very timely fashion when fast spin echo sequences are used in imaging protocols, will demonstrate the most common pathologic conditions, including triangular fibrocartilage and ligament tears in the wrist. They present the practical issues of patient position and imaging sequences as well as the imaging findings in those pathologic conditions.

REFERENCES

  • 1 Stoller D W. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine.  2nd ed. Philadelphia: Lippincott-Raven 1997: 935-936
  • 2 Golimbu C N, Firooznia H, Rafii M. Avascular necrosis of carpal bones.  Magn Reson Imaging Clin North Am . 1995;  3 281-303
  • 3 Fowler C, Sullivan B, Williams L A. A comparison of bone scintigraphy and MRI in the early diagnosis of the occult scaphoid waist fracture.  Skeletal Radiol . 1998;  27 683-687
  • 4 Lohman M, Kivisaari A, Vehmas T. MR imaging in suspected acute trauma of wrist bones.  Acta Radiol . 1999;  40 615-618
  • 5 D'Hoore K, DeSmet L, VerelenK, et al. Negative ulnar variance is not a risk factor for Kienbock's disease.  J Hand Surg (Am) . 1994;  19 229-231
  • 6 Gelberman R H, Bauman T D, Menon J. The vascularity of the lunate bone and Kienbock's disease.  J Hand Surg (Am) . 1980;  5 272-278
  • 7 Oneson S R, Scales L M, Timins M E. MR imaging interpretation of the Palmer classification of triangular fibrocartilage complex lesions.  Radiographics . 1996;  16 97-106
  • 8 Nakamura T, Yabe Y, Horiuchi Y. Fat suppression magnetic resonance imaging of the triangular fibrocartilage complex.  J Hand Surg . 1999;  24B 22-26
  • 9 Totterman S M, Miller R J. Scapholunate ligament: normal MR appearance on three dimensional gradient recalled images.  Radiology . 1996;  200 237-241
  • 10 Timins M E, Jahnke J P, Krah S F. MR imaging of the major stabilizing ligaments: normal anatomy and clinical examples.  Radiographics . 1995;  15 575-587
  • 11 Adler B D, Logan P M, Jazen D L. Extrinsic radiocarpal ligaments: magnetic resonance imaging of normal wrists and scapholunate dissociation.  Can Assoc Radiol J . 1996;  47 417-422
  • 12 Smith D K. Dorsal carpal ligaments of the wrist: normal appearance on multiplanar reconstructions of three-dimensional Fourier transform MR imaging.  AJR . 1993;  16 119-125
  • 13 Smith D K. Volar carpal ligaments of the wrist: normal appearance on multiplanar reconstructions of three-dimensional Fourier transform MR imaging.  AJR . 1993;  161 353-357
  • 14 Steiner E, Steinbach L S, Schnarkowski P. Ganglia and cysts around joints.  Radiol Clin North Am . 1996;  34 395-425
  • 15 El-Noueam K I, Schweitzer M E, Blasbalg R. Is a subset of wrist ganglia the sequela of internal derangements of the wrist joint?.  <~>MR imaging findings. Radiology . 1999;  212 537-540
    >