Magnetic Resonance Imaging in Ulnar-Sided Wrist Pain: Diagnostic Contributions, Limitations, and Imaging Pitfalls
DOI:
https://doi.org/10.48047/gpv2cs93Keywords:
Ulnar-sided wrist pain; Magnetic resonance imaging; Triangular fibrocartilage complex; Imaging pitfallsAbstract
Background: Ulnar-sided wrist pain represents a frequent and diagnostically challenging clinical problem because of the compact
arrangement and functional interdependence of the osseous, ligamentous, tendinous, cartilaginous, neural, and vascular structures along the ulnar aspect of the wrist. Clinical manifestations are often nonspecific, and several disorders may coexist or produce overlapping symptoms. Conventional radiography remains the initial imaging modality for assessment of alignment, fracture, degenerative change, and ulnar variance; however, it provides limited evaluation of the triangular fibrocartilage complex, intrinsic and extrinsic ligaments, articular cartilage, tendons, bone marrow, and neurovascular structures. Magnetic resonance imaging has therefore become an important noninvasive tool in the investigation of persistent or unexplained ulnar-sided wrist pain
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References
DaSilva MF, Goodman AD, Gil JA, Akelman E. Evaluation of ulnar-sided wrist pain. J Am Acad Orthop Surg. 2017;25(8). doi:10.5435/JAAOS-D-16-00407
Kreulen RT, Nayar SK, Alfaki Y, LaPorte DM, Demehri S. Advanced imaging of ulnar wrist pain. Hand Clin. 2021;37(4):477-486. doi:10.1016/j.hcl.2021.07.004
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