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Wrist and Hand Injuries: MRI Pitfalls

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Pitfalls in Musculoskeletal Radiology

Abstract

Traumatic injuries to the wrist and finger are complex, and, in this chapter, we begin with technical optimization and progress to a detailed discussion of the most frequent wrist magnetic resonance imaging artifacts. We discuss the traumatic injuries of the wrist in terms of osseous injuries and ligamentous injuries. For osseous injuries, we describe the continuum of traumatic and stress injuries and their imaging appearances, with an emphasis on location. For ligamentous injuries, we provide an overview of the common ligamentous injury including both intrinsic and extrinsic wrist ligaments with a focus on normal anatomy. Finally, we discuss finger traumatic injuries including the ulnar collateral ligament injury of the thumb and common flexor and extensor mechanism injuries.

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Abbreviations

MRI:

Magnetic resonance imaging

References

  • Ahn JM, El-Khoury GY (2007) Role of magnetic resonance imaging in musculoskeletal trauma. Top Magn Reson Imaging 18:155–168

    Article  PubMed  Google Scholar 

  • Al-Qattan MM (2001) Type 5 avulsion of the insertion of the flexor digitorum profundus tendon. J Hand Surg Br 26:427–431

    Article  CAS  PubMed  Google Scholar 

  • Al-Qattan MM (2005) Type 6 avulsion of the insertion of the flexor digitorum profundus tendon. Injury Extra 36:19–21

    Google Scholar 

  • Anderson SE, Steinbach LS, Tschering-Vogel D et al (2005) MR imaging of avascular scaphoid non-union before and after vascularized bone grafting. Skeletal Radiol 34:314–320

    Article  PubMed  Google Scholar 

  • Bateni CP, Bartolotta RJ, Richardson ML et al (2013) Imaging key wrist ligaments: what the surgeon needs the radiologist to know. AJR Am J Roentgenol 200:1089–1095

    Article  PubMed  Google Scholar 

  • Bednar MS, Arnoczky SP, Weiland AJ (1991) The micro-vasculature of the triangular fibrocartilage complex: its clinical significance. J Hand Surg Am 16:1101–1105

    Article  CAS  PubMed  Google Scholar 

  • Bencardino JT, Rosenberg ZS (2006) Sports-related injuries of the wrist: an approach to MRI interpretation. Clin Sports Med 25:409–432

    Article  PubMed  Google Scholar 

  • Berger RA (1996) The anatomy and basic biomechanics of the wrist joint. J Hand Ther 9:84–93

    Article  CAS  PubMed  Google Scholar 

  • Berger RA (1997) The ligaments of the wrist. A current overview of anatomy with considerations of their potential functions. Hand Clin 13:63–82

    CAS  PubMed  Google Scholar 

  • Berger RA, Imeada T, Berglund L et al (1999) Constraint and material properties of the subregions of the scapholunate interosseous ligament. J Hand Surg Am 24:953–962

    Article  CAS  PubMed  Google Scholar 

  • Berger RA (2001) The anatomy of the ligaments of the wrist and distal radioulnar joints. Clin Orthop Relat Res 383:32–340

    Article  Google Scholar 

  • Blum AG, Zabel JP, Kohlmann R et al (2006) Pathologic conditions of the hypothenar eminence: evaluation with multidetector CT and MR imaging. Radiographics 26:1021–1044

    Article  PubMed  Google Scholar 

  • Breitenseher MJ, Trattnig S, Gäbler C et al (1997) MRI in radiologically occult scaphoid fractures. Initial experiences with 1.0 tesla (whole body-middle field equipment) versus 0.2 tesla (dedicated low-field equipment). Radiologe 37:812–818

    Article  CAS  PubMed  Google Scholar 

  • Bretlau T, Christensen OM, Edström P et al (1999) Diagnosis of scaphoid fracture and dedicated extremity MRI. Acta Orthop Scand 70:504–508

    Article  CAS  PubMed  Google Scholar 

  • Brown RR, Fliszar E, Cotten A et al (1998) Extrinsic and intrinsic ligaments of the wrist: normal and pathologic anatomy at MR arthrography with three compartment enhancement. Radiographics 18:667–674

    Article  CAS  PubMed  Google Scholar 

  • Brydie A, Raby N (2003) Early MRI in the management of clinical scaphoid fracture. Br J Radiol 76:296–300

    Article  CAS  PubMed  Google Scholar 

  • Cantor RM, Stern PJ, Wyrick JD et al (1994) The relevance of ligament tears or perforations in the diagnosis of wrist pain: an arthrographic study. J Hand Surg Am 19:945–953

    Article  CAS  PubMed  Google Scholar 

  • Cerezal L, Abascal F, Canga A et al (2000) Usefulness of gadolinium-enhanced MR imaging in the evaluation of the vascularity of scaphoid non-unions. AJR Am J Roentgenol 174:141–149

    Article  CAS  PubMed  Google Scholar 

  • Cerezal L, del Piñal F, Abascal F et al (2002) Imaging findings in ulnar-sided wrist impaction syndromes. Radiographics 22:105–121

    Article  PubMed  Google Scholar 

  • Clavero JA, Golanó P, Fariñas O et al (2003) Extensor mechanism of the fingers: MR imaging-anatomic correlation. Radiographics 23:593–611

    Article  PubMed  Google Scholar 

  • Cody ME, Nakamura DT, Small KM, Yoshioka H (2015) MR imaging of the triangular fibrocartilage complex. Magn Reson Imaging Clin N Am 23:393–403

    Article  PubMed  Google Scholar 

  • Conway WF, Destouet JM, Gillula LA et al (1985) The carpal boss: an overview of radiographic evaluation. Radiology 156:29–31

    Article  CAS  PubMed  Google Scholar 

  • Cooney WP, Linscheid RL, Dobyns JH (1996) Fractures and dislocations of the wrist. In: Rockwood CA Jr, Green DP (eds) Fractures in adults, 4th edn. Lippincott, Philadelphia

    Google Scholar 

  • Crowley TP (2012) The flexor tendon pulley system and rock climbing. J Hand Microsurg 4:25–29

    Article  PubMed  PubMed Central  Google Scholar 

  • Daunt N (2002) Magnetic resonance imaging of the wrist: anatomy and pathology of interosseous ligaments and the triangular fibrocartilage complex. Curr Probl Diagn Radiol 31:158–176

    Article  PubMed  Google Scholar 

  • De Smet L (1994) Ulnar variance: facts and fiction review article. Acta Orthop Belg 60:1–9

    CAS  PubMed  Google Scholar 

  • De Smet L (1999) Ulnar variance and its relationship to ligament injuries of the wrist. Acta Orthop Belg 65:416–417

    CAS  PubMed  Google Scholar 

  • Delaere OP, Suttor PM, Degolla R et al (2003) Early surgical treatment for collateral ligament rupture of metacarpophalangeal joints of the fingers. J Hand Surg Am 28:309–315

    Article  PubMed  Google Scholar 

  • Dietrich O, Reiser MF, Schoenberg SO (2008) Artifacts in 3-T MRI: physical background and reduction strategies. Eur J Radiol 65:29–35

    Article  PubMed  Google Scholar 

  • Donati OF, Zanetti M, Nagy L et al (2011) Is dynamic gadolinium enhancement needed in MR imaging for the preoperative assessment of scaphoidal viability in patients with scaphoid non-union? Radiology 260:808–816

    Article  PubMed  Google Scholar 

  • Dorsay TA, Major NM, Helms CA (2001) Cost-effectiveness of immediate MR imaging versus traditional follow-up for revealing radiographically occult scaphoid fractures. AJR Am J Roentgenol 177:1257–1263

    Article  CAS  PubMed  Google Scholar 

  • Doyle JR (1988) Anatomy of the finger flexor tendon sheath and pulley system. J Hand Surg Am 13:473–484

    Article  CAS  PubMed  Google Scholar 

  • Drapé JL, Le Viet D (2007) Traumatic finger injuries. In: Stoller DW (ed) Magnetic resonance imaging in orthopaedics and sports medicine, 3rd edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Fox MG, Gaskin CM, Chhabra AB et al (2010) Assessment of scaphoid viability with MRI: a reassessment of findings on unenhanced MR images. AJR Am J Roentgenol 195:W281–W286

    Article  PubMed  Google Scholar 

  • Friedrich KM, Chang G, Vieira RLR et al (2009) In vivo 7.0-tesla magnetic resonance imaging of the wrist and hand: technical aspects and applications. Semin Musculoskelet Radiol 13:74–84

    Article  PubMed  PubMed Central  Google Scholar 

  • Gaebler C, Kukla C, Breitenseher M et al (1996) Magnetic resonance imaging of occult scaphoid fractures. J Trauma 41:73–76

    Article  CAS  PubMed  Google Scholar 

  • Gold GE, Hargreaves BA, Beaulieu CF (2003) Protocols in sports magnetic resonance imaging. Top Magn Reson Imaging 14:3–23

    Article  PubMed  Google Scholar 

  • Goncalves-Matoso V, Guntern D, Gary A et al (2008) Optimal 3-T MRI for depiction of the finger A2 pulley: comparison between T1-weighted and gadolinium-enhanced fat saturated T1-weighted sequences. Skeletal Radiol 37:307–312

    Article  PubMed  Google Scholar 

  • Green DP, Hotchkiss RN, Pederson WC et al (2011) Green’s operative hand surgery. Elsevier/Churchill Livingstone, Philadelphia

    Google Scholar 

  • Gückel C, Nidecker A (1997) The rope ladder: an uncommon artifact and potential pitfall in MR arthrography of the shoulder. AJR Am J Roentgenol 168:947–950

    Article  PubMed  Google Scholar 

  • Guha AR, Marynissen H (2002) Stress fracture of the hook of the hamate. Br J Sports Med 36:224–225

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Haims AH, Schweitzer ME, Morrison WB et al (2002) Limitations of MR imaging in the diagnosis of peripheral tears of the triangular fibrocartilage of the wrist. AJR Am J Roentgenol 178:419–422

    Article  PubMed  Google Scholar 

  • Hauger O, Chung CB, Lektrakul N et al (2000) Pulley system in the fingers: normal anatomy and simulated lesions in cadavers at MR imaging, CT, and US with and without contrast material distention of the tendon sheath. Radiology 217:201–212

    Article  CAS  PubMed  Google Scholar 

  • Herbert TJ, Fisher WE (1984) Management of the fractured scaphoid using a new bone screw. J Bone Joint Surg Br 66:114–123

    CAS  PubMed  Google Scholar 

  • Hirschmann A, Sutter R, Schweizer A, Pfirrmann CWA (2014) MRI of the thumb: anatomy and spectrum of findings in asymptomatic volunteers. AJR Am J Roentgenol 202:819–827

    Article  PubMed  Google Scholar 

  • Hobby JL, Dixon AK, Bearcroft PW et al (2001) MR imaging of the wrist: effect on clinical diagnosis and patient care. Radiology 220:589–593

    Article  CAS  PubMed  Google Scholar 

  • Hunter JC, Escobedo EM, Wilson AJ et al (1997) MR imaging of clinically suspected scaphoid fractures. AJR Am J Roentgenol 168:1287–1293

    Article  CAS  PubMed  Google Scholar 

  • Inoue G, Sakuma M (1996) The natural history of scaphoid non-union. Radiographic and clinical analysis in 102 cases. Arch Orthop Trauma Surg 115:1–4

    Article  CAS  PubMed  Google Scholar 

  • Johnson RP (1980) The acutely injured wrist and its residuals. Clin Orthop Relat Res 149:33–44

    Google Scholar 

  • Johnstone DJ, Thorogood S, Smith WH, Scott TD (1997) A comparison of magnetic resonance imaging and arthroscopy in the investigation of chronic wrist pain. J Hand Surg Br 22:714–718

    Article  CAS  PubMed  Google Scholar 

  • Jowett AD, Brukner PD (1997) Fifth metacarpal stress fracture in a female softball pitcher. Clin J Sport Med 7:220–221

    Article  CAS  PubMed  Google Scholar 

  • Karantanas A, Dailiana Z, Malizos K (2007) The role of MR imaging in scaphoid disorders. Eur Radiol 17:2860–2871

    Article  PubMed  Google Scholar 

  • Kato H, Nakamura R, Horii E et al (2000) Diagnostic imaging for fracture of the hook of the hamate. Hand Surg 5:19–24

    Article  CAS  PubMed  Google Scholar 

  • Kleinert HE, Verdan C (1983) Report of the committee on tendon injuries (International Federation of Societies of surgery of the hand). J Hand Surg Am 8:794–798

    Article  CAS  PubMed  Google Scholar 

  • Koch KM, Lorbiecki JE, Hinks RS, King KF (2009) A multispectral three-dimensional acquisition technique for imaging near metal implants. Magn Reson Med 61:381–390

    Article  PubMed  Google Scholar 

  • Kuo CE, Wolfe SW (2008) Scapholunate instability: current concepts in diagnosis and management. J Hand Surg Am 33:998–1013

    Article  PubMed  Google Scholar 

  • Laor T, Jaramillo D (2009) MR imaging insights into skeletal maturation: what is normal? Radiology 250:28–38

    Article  PubMed  Google Scholar 

  • Leddy JP, Packer JW (1977) Avulsion of the profundus tendon insertion in athletes. J Hand Surg Am 2:66–69

    Article  CAS  PubMed  Google Scholar 

  • Lee MJ, Kim S, Lee SA et al (2007) Overcoming artifacts from metallic orthopedic implant at high-field-strength MR imaging and multidetector CT. Radiographics 27:791–803

    Article  PubMed  Google Scholar 

  • Lee RK, Ng AW, Tong CS et al (2013) Intrinsic ligament and triangular fibrocartilage complex tears of the wrist: comparison of MDCT arthrography, conventional 3-T MRI, and MR arthrography. Skeletal Radiol 42:1277–1285

    Article  CAS  PubMed  Google Scholar 

  • Liebling MS, Berdon WE, Ruzal-Shapiro C et al (1995) Gymnasts’ wrist (pseudorickets growth plate abnormality) in adolescent athletes: findings on plain films and MRI imaging. AJR Am J Rosentgenol 164:157–159

    Article  CAS  Google Scholar 

  • Lin GT, Amadio PC, An KN, Cooney WP (1989) Functional anatomy of the human digital flexor pulley system. J Hand Surg Am 14:949–956

    Article  CAS  PubMed  Google Scholar 

  • Linkous MD, Pierce SD, Gilula LA (2000) Scapholunate ligamentous communicating defects in symptomatic and asymptomatic wrists: characteristics 1. Radiology 216:846–850

    Article  CAS  PubMed  Google Scholar 

  • Lisle DA, Shepherd GJ, Cowderoy GA, O’Connell PT (2009) MR imaging of traumatic and overuse injuries of the wrist and hand in athletes. Magn Reson Imaging Clin N Am 17:639–654

    Article  PubMed  Google Scholar 

  • Lu W, Pauly KB, Gold GE, Pauly JM, Hargreaves BA (2009) SEMAC: slice encoding for metal artifact correction in MRI. Magn Reson Med 62:66–76

    Article  PubMed  PubMed Central  Google Scholar 

  • Mak WH, Szabo RM, Myo GK (2012) Assessment of volar radiocarpal ligaments: MR arthrographic and arthroscopic correlation. AJR Am J Roentgenol 198:423–427

    Article  PubMed  Google Scholar 

  • Manton GL, Schweitzer ME, Weishaupt D et al (2001) Partial interosseous ligament tears of the wrist: difficulty in utilizing either primary or secondary MRI signs. J Comput Assist Tomogr 25:671–676

    Article  CAS  PubMed  Google Scholar 

  • Manuel J, Moran SL (2007) The diagnosis and treatment of scapholunate instability. Orthop Clin N Am 38:261–277

    Article  Google Scholar 

  • McAuliffe JA (2010) Tendon disorders of the hand and wrist. J Hand Surg Am 35:846–853

    Article  PubMed  Google Scholar 

  • Metz VM, Mann FA, Gilula LA (1993a) Three-compartment wrist arthrography: correlation of pain site with location of uni- and bidirectional communications. AJR Am J Roentgenol 160:819–822

    Article  CAS  PubMed  Google Scholar 

  • Metz VM, Mann FA, Gilula LA (1993b) Lack of correlation between site of wrist pain and location of noncommunicating defects shown by three-compartment wrist arthrography. AJR Am J Roentgenol 160:1239–1243

    Article  CAS  PubMed  Google Scholar 

  • Mikić ZD (1978) Age changes in the triangular fibrocartilage of the wrist joint. J Anat 126:367–384

    PubMed  PubMed Central  Google Scholar 

  • Milch H (1932) Fracture of the hamate bone. J Bone Joint Surg Am 16:459–462

    Google Scholar 

  • Mitsuyasu H, Patterson RM, Shah MA et al (2004) The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability. J Hand Surg Am 29:279–288

    Article  PubMed  Google Scholar 

  • Momeni A, Grauel E, Chang J (2010) Complications after flexor tendon injuries. Hand Clin 26:179–189

    Article  PubMed  Google Scholar 

  • Morelli JN, Runge VM, Ai F et al (2011) An image-based approach to understanding the physics of MR artifacts. Radiographics 31:849–866

    Article  PubMed  Google Scholar 

  • Mosher TJ (2006) Musculoskeletal imaging at 3T: current techniques and future applications. Magn Reson Imaging Clin N Am 14:63–76

    Article  PubMed  Google Scholar 

  • Nakamura T, Yabe Y, Horiuchi Y (1999) Dynamic changes in the shape of the triangular fibrocartilage complex during rotation demonstrated with high resolution magnetic resonance imaging. J Hand Surg Br 24:338–341

    Article  CAS  PubMed  Google Scholar 

  • Ng AW, Griffith JF, Taljanovic MS et al (2013) Is dynamic contrast-enhanced MRI useful for assessing proximal fragment vascularity in scaphoid fracture delayed and non-union? Skeletal Radiol 42:983–992

    Article  PubMed  Google Scholar 

  • Nikken JJ, Oei EH, Ginai AZ et al (2005) Acute wrist trauma: value of a short dedicated extremity MR imaging examination in prediction of need for treatment 1. Radiology 234:116–124

    Article  PubMed  Google Scholar 

  • Obdeijn MC, van der Vlies CH, van Rijn RR (2010) Capitate and hamate fracture in a child: the value of MRI imaging. Emerg Radiol 17:157–159

    Article  PubMed  Google Scholar 

  • Palmer AK, Werner FW (1981) The triangular fibrocartilage complex of the wrist—anatomy and function. J Hand Surg Am 6:153–162

    Article  CAS  PubMed  Google Scholar 

  • Palmer AK, Glisson RR, Werner FW (1984) Relationship between ulnar variance and triangular fibrocartilage complex thickness. J Hand Surg Am 9:681–682

    Article  CAS  PubMed  Google Scholar 

  • Peh WCG, Chan JHM (1998) The magic angle phenomenon in tendons: effect of varying the MR echo time. Br J Radiol 71:31–36

    Article  CAS  PubMed  Google Scholar 

  • Peh WCG, Chan JHM (2001) Artifacts in musculoskeletal magnetic resonance imaging: identification and correction. Skeletal Radiol 30:179–191

    Article  CAS  PubMed  Google Scholar 

  • Potter HG, Asnis-Ernberg L, Weiland AJ et al (1997) The utility of high-resolution magnetic resonance imaging in the evaluation of the triangular fibrocartilage complex of the wrist. J Bone Joint Surg Am 79:1675–1684

    Article  CAS  PubMed  Google Scholar 

  • Raghupathi AK, Kumar P (2014) Nonscaphoid carpal injuries-incidence and associated injuries. J Orthop 11:91–95

    Article  PubMed  PubMed Central  Google Scholar 

  • Rayan GM, Murray D, Chung KW, Rohrer M (1997) The extensor retinacular system at the metacarpophalangeal joint. Anatomical and histological study. J Hand Surg Br 22:585–590

    Article  CAS  PubMed  Google Scholar 

  • Ringler MD (2013) MRI of wrist ligaments. J Hand Surg Am 38:2034–2046

    Article  PubMed  Google Scholar 

  • Rozmaryn LM, Wei N (1999) Metacarapophalangeal arthroscopy. Arthroscopy 15:333–337

    Article  CAS  PubMed  Google Scholar 

  • Ruch DS, Poehling GG (1996) Arthroscopic management of partial scapholunate and lunotriquetral injuries of the wrist. J Hand Surg Am 21:412–417

    Article  CAS  PubMed  Google Scholar 

  • Sachar K (2008) Ulnar-sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears. J Hand Surg Am 33:1669–1679

    Article  PubMed  Google Scholar 

  • Sakai T, Sugano N, Nishii T et al (2000) MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head. Skelet Radiol 29:133–141

    Article  CAS  Google Scholar 

  • Scalcione LR, Pathria MN, Chung CB (2010) The athlete’s hand: ligament and tendon injuries. Semin Musculoskelet Radiol 16:338–350

    Google Scholar 

  • Schmid MR, Schertler T, Pfirrmann CW et al (2005) Interosseous ligament tears of the wrist: comparison of multi-detector row CT arthrography and MR imaging 1. Radiology 237:1008–1013

    Article  PubMed  Google Scholar 

  • Schmitt R, Christopoulos G, Wagner M et al (2011) Avascular necrosis (AVN) of the proximal fragment in scaphoid non-union: is intravenous contrast agent necessary in MRI? Eur J Radiol 77:222–227

    Article  CAS  PubMed  Google Scholar 

  • Schweitzer ME, Brahme SK, Hodler J et al (1992) Chronic wrist pain: spin-echo and short tau inversion recovery MR imaging and conventional and MR arthrography. Radiology 182:205–211

    Article  CAS  PubMed  Google Scholar 

  • Sebag G, Ducou Le Pointe H, Klein I et al (1997) Dynamic gadolinium-enhanced subtraction MR imaging–a simple technique for the early diagnosis of Legg-calve´-Perthes disease: preliminary results. Pediatr Radiol 27:216–220

    Article  CAS  PubMed  Google Scholar 

  • Shabshin N, Schweitzer ME (2009) Age dependent T2 changes of bone marrow in pediatric wrist MRI. Skeletal Radiol 38:1163–1168

    Google Scholar 

  • Shih C, Chang CY, Penn IW et al (1995) Chronically stressed wrists in adolescent gymnasts: MR imaging appearance. Radiology 195:855–859

    Article  CAS  PubMed  Google Scholar 

  • Singh DR, Chin MSM, Peh WCG (2014) Artifacts in musculoskeletal MR imaging. Semin Musculoskelet Radiol 18:12–22

    Article  PubMed  Google Scholar 

  • Slutsky DJ (2008) Incidence of dorsal radiocarpal ligament tears in the presence of other intercarpal derangements. Arthroscopy 24:526–533

    Article  PubMed  Google Scholar 

  • Smith DK, Snearly WN (1994) Lunotriquetral interosseous ligament of the wrist: MR appearances in asymptomatic volunteers and arthrographically normal wrists. Radiology 191:199–202

    Article  CAS  PubMed  Google Scholar 

  • Smith TB, Nayak KS (2010) MRI artifacts and correction strategies. Imaging Med 2:445–457

    Article  Google Scholar 

  • Soila KP, Viamonte M Jr, Starewicz PM (1984) Chemical shift misregistration effect in magnetic resonance imaging. Radiology 153:819–820

    Article  CAS  PubMed  Google Scholar 

  • Steinmann SP, Adams JE (2006) Scaphoid fractures and non-unions: diagnosis and treatment. J Orthop Sci 11:424–431

    Article  PubMed  PubMed Central  Google Scholar 

  • Suh N, Ek ET, Wolfe SW (2014) Carpal fractures. J Hand Surg Am 39:785–791

    Article  PubMed  Google Scholar 

  • Taber KH, Herrick RC, Weathers SW et al (1998) Pitfalls and artifacts encountered in clinical MR imaging of the spine. Radiographics 18:1499–1521

    Article  CAS  PubMed  Google Scholar 

  • Taccone A, Oddone M, Dell’Acqua AD et al (1995) MRI “roadmap” of normal age related bone marrow. II. Thorax and extremities. Pediatr Radiol 25:588–595

    Google Scholar 

  • Taleisnik J (1976) The ligaments of the wrist. J Hand Surg Am 1:110–118

    Article  CAS  PubMed  Google Scholar 

  • Taleisnik J (1988) Current concepts review. Carpal instability. J Bone Joint Surg Am 70:1262–1268

    Article  CAS  PubMed  Google Scholar 

  • Taneja AK, Bredella MA, Chang CY et al (2013) Extrinsic wrist ligaments: prevalence of injury by magnetic resonance imaging and association with intrinsic ligament tears. J Comput Assist Tomogr 37:783–789

    Article  PubMed  Google Scholar 

  • Theumann NH, Etechami G, Duvoisin B et al (2006) Association between extrinsic and intrinsic carpal ligament injuries at MR arthrography and carpal instability at radiography: initial observations 1. Radiology 238:950–957

    Article  PubMed  Google Scholar 

  • Tibrewal S, Jayakumar P, Vaidyas et al (2012) Role of MRI in the diagnosis and management of patients with clinical scaphoid fracture. Int Orthop 36:107–110

    Google Scholar 

  • Timins ME, Jahnke JP, Krah SF et al (1995) MR imaging of the major carpal stabilizing ligaments: normal anatomy and clinical examples. Radiographics 15:575–587

    Article  CAS  PubMed  Google Scholar 

  • Tomaino MM (1998) Ulnar impaction syndrome in the ulnar negative and neutral wrist. Diagnosis and pathoanatomy. J Hand Surg Br 23:754–757

    Article  CAS  PubMed  Google Scholar 

  • Totterman SMS, Miller RJ (1995) Triangular fibrocartilage complex: normal appearance on coronal three-dimensional gradient-recalled-echo MR images. Radiology 195:521–527

    Article  CAS  PubMed  Google Scholar 

  • Totterman SM, Miller RJ (1996) Scapholunate ligament: normal MR appearance on three-dimensional gradient-recalled-echo images. Radiology 200:237–241

    Article  CAS  PubMed  Google Scholar 

  • Tsiouri C, Hayton MJ, Baratz M (2009) Injury to the ulnar collateral ligament of the thumb. Hand 4:12–18

    Article  PubMed  Google Scholar 

  • Urban MA, Green DP, Aufdemorte TB (1993) The patchy configuration of scaphoid avascular necrosis. J Hand Surg Am 18:669–674

    Article  CAS  PubMed  Google Scholar 

  • Van Onselen EB, Karim RB, Hage JJ et al (2003) Prevalence and distribution of hand fractures. J Hand Surg Br 28:491–510

    Article  CAS  PubMed  Google Scholar 

  • Vande Berg B, Malghem J, Labaisse MA et al (1992) Avascular necrosis of the hip: comparison of contrast-enhanced and nonenhanced MR imaging with histologic correlation. Work in progress. Radiology 182:445–450

    Article  CAS  PubMed  Google Scholar 

  • Vezeridis PS, Yoshioka H, Han R et al (2010) Ulnar-sided wrist pain. Part I: anatomy and physical examination. Skeletal Radiol 39:733–745

    Google Scholar 

  • Viegas SF, Ballantyne G (1987) Attritional lesions of the wrist joint. J Hand Surg Am 12:1025–1029

    Article  CAS  PubMed  Google Scholar 

  • Viegas SF, Patterson RM, Hokanson JA et al (1993) Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg Am 18:463–475

    Article  CAS  PubMed  Google Scholar 

  • Waninger KN, Lombardo JA (1995) Stress fracture of index metacarpal in an adolescent tennis player. Clin J Sport Med 5:63–66

    Article  CAS  PubMed  Google Scholar 

  • Weiss AP, Sachar K, Glowacki KA (1997) Arthroscopic debridement alone for intercarpal ligament tears. J Hand Surg Am 22:344–349

    Article  CAS  PubMed  Google Scholar 

  • Weissman BN (2009) Expert consult. In: Imaging of arthritis and metabolic bone disease. Saunders/Elsevier, Philadelphia

    Google Scholar 

  • Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH (2011) Flexor tendon injury. In: Green’s operative hand surgery, 6th edn. Elsevier/Churchill Livingstone, Philadelphia

    Google Scholar 

  • Wright TW, Charco MD, Wheeler D (1994) Incidence of ligament lesions and associated degenerative changes in the elderly wrist. J Hand Surg Am 19:313–318

    Article  CAS  PubMed  Google Scholar 

  • Yin YM, Evanoff B, Gilula LA et al (1996) Evaluation of selective wrist arthrography of contralateral asymptomatic wrists for symmetric ligamentous defects. AJR Am J Roentgenol 166:1067–1073

    Article  CAS  PubMed  Google Scholar 

  • Yoshioka H, Tanaka T, Ueno T et al (2006) High-resolution MR imaging of the proximal zone of the lunotriquetral ligament with a microscopy coil. Skeletal Radiol 35:288–294

    Google Scholar 

  • Zanetti M, Linkous MD, Gilula LA, Hodler J (2000) Characteristics of triangular fibrocartilage defects in symptomatic and contralateral asymptomatic wrists. Radiology 216:840–845

    Article  CAS  PubMed  Google Scholar 

  • Zhuo J, Gullapalli RP (2006) AAPM/RSNA physics tutorial for residents: MR artifacts, safety, and quality control. Radiographics 26:275–272

    Article  PubMed  Google Scholar 

  • Zlatkin MB, Chao PC, Osterman AL et al (1989) Chronic wrist pain: evaluation with high-resolution MR imaging. Radiology 173:723–729

    Article  CAS  PubMed  Google Scholar 

  • Zlatkin MB, Rosner J (2004) MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am 12:301–331

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Stony Brook University, Stony Brook University Hospital, 101 Nicolls Road, Stony Brook, New York, NY, 11794-8460, USA

    Mingqian Huang MD & Mark E. Schweitzer MD, FRCPSC

Authors
  1. Mingqian Huang MD
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  2. Mark E. Schweitzer MD, FRCPSC
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Correspondence to Mingqian Huang MD .

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  1. Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore, Singapore

    Wilfred C. G. Peh

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Huang, M., Schweitzer, M.E. (2017). Wrist and Hand Injuries: MRI Pitfalls. In: Peh, W. (eds) Pitfalls in Musculoskeletal Radiology. Springer, Cham. https://doi.org/10.1007/978-3-319-53496-1_19

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  • DOI: https://doi.org/10.1007/978-3-319-53496-1_19

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