Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving technique to assess the cause of wrist pain. It also plays an important prognostic role. MRA is an excellent tool in assessing TFC and wrist ligaments injury. Methods: This study was conducted on 60 patients complaining of chronic wrist pain. The patients were referred to the radiology department from the outpatient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by x-ray and conventional MRI. 15 patients with suspected triangular fibrocartilage complex (TFC) and/or ligament injury underwent MRA as well. Data of soft tissue and osseous lesions were collected and analyzed. Results: There were thirty four males and twenty six females, their ages ranged between 17 & 59 years (mean age, 38 years). Joint effusion, kienbock disease and ganglion cysts were the most common findings in conventional MRI . TFC injury was the most common finding in MRA. Conclusion: MRI has a dramatic impact on the diagnosis and assessment of variety of wrist disorders. It is non invasive and ideal modality to demonstrate the complex anatomy and pathological conditions of the wrist. MRA is an excellent tool in assessing TFC and ligaments injury.
| Published in | International Journal of Medical Imaging (Volume 2, Issue 6) |
| DOI | 10.11648/j.ijmi.20140206.16 |
| Page(s) | 149-155 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
MRI, MRA, Wrist Pain
| [1] | Jonathan Cluett, M.D (2010) , About.com Guide Updated April 28, 2010 |
| [2] | Andrew H. Haims ,Andrew E. Moore ,Mark E. Schweitzer ,William B. Morrison ,Diane Deely ,Randall W. Culp and Howard P. Forman( 2004) ,AJR 2004;182:1267–1270 |
| [3] | Urbschat K, Frank J, Marzi I, Schneider G and Roth R (1999). Value of MRI in di-agnosis of post-traumatic wrist com- plaints. Zentralbl Chir 124:977–983 |
| [4] | Watson HK, Weinzweig J and Zeppieri J (1997). The natural progression of scaphoid instability. Hand Clin 1997 13:39-49 |
| [5] | Garcia-Elias M, Geissler W,Hotchkiss R, Pederson W and Wolfe S (2005) .Green’s operative hand surgery. Philadelphia, PA Elsevier, 2005:535–604 |
| [6] | Elentuck D and Palmer WE (2004). Direct magnetic resonance arthrography. Eur Radiol. 2004; 14:1956–67. |
| [7] | Viviane Khoury, M.D., Patrick G. Harris, M.D. and E´ tienne Cardinal, M.D. (2007). Cross-Sectional Imaging of Internal Derangement of the Wrist with Arthroscopic Correlation. Semin Musculoskelet Radiol; 11:36–47, 2007. |
| [8] | Suraj Joshy , Kenneth Lee , Subodh C and Deshmukh (2008) . Accuracy of direct magnetic resonance arthrography. in the diagnosis of triangular fibrocartilage complex tears of the wrist International Orthopaedics (SICOT); 32:251–253, 2008. |
| [9] | Zeev V. Maizlin, Jacqueline A. Brown, Jason J and Clement (2009). MR Arthrography of the Wrist: Controversies and Concepts. American Association for Hand Surgery; 4:66–73, 2009. |
| [10] | Suzanne E., Anderson, Lynne S., et al. (2006). MRI for Differentiating Ganglion and Synovitis in the Chronic Painful Wrist AJR; 186:812-818, 2006. |
| [11] | Richard M, van Vugt, Johannes W J, et al. (1999). Chronic wrist pain: diagnosis and management. Development and use of a new algorithm. Ann Rheum Dis; 58; 665-674, 1999. |
| [12] | Horch RE, Unglaub F, Dragu A, et al.(2008). Kienbock's disease: Diagnosis and therapy. Chirurg Feb 13; epub ahead of print, 2008. |
| [13] | Seymour. MRCP, Frcr PG, White, et al. (1998). Magnetic resonance imaging of painful wrist, the British journal of radiology; 7:1323-1330, 1998. |
| [14] | Hoglund M, Tordai P and Muren C. (1994). Diagnosis of ganglions in the hand and wrist by sonography. Acta Radiol; 8:9-35, 1994. |
| [15] | Pretorius ES, Epstein RE, Dalinka, et al.(1997). MK.MR imaging of the wrist .Radiol clin N Am; 35 :61-145.1997. |
| [16] | James R.D., Murray Erskine J., Hoimes Rakesh, et al.(2008) . A–Z of Musculoskeletal and Trauma, Radiology Cambirdge University Press; 2:264-274, 2008. |
| [17] | Hauck RM, Skahen J and Palmer AK (1996). Classification and treatment of ulnar styloid nonunion. J Hand Surg [Am]. May; 21(3):418-22, 1996. |
| [18] | Sternbach G. (1999). The carpal tunnel syndrome. J Emerg Med; 17:23-519, 1999. |
| [19] | Leifer D, Cros D, Halperin JJ, et al. (1992). Familial bilateral carpal tunnel syndrome: report of two families. Arch Med. Rehab.; 73:393-397, 1992. |
| [20] | Pasternack I, Malmivara A, Kenn W, et al. (2003). MRI findings in respect to carpal tunnel syndrome .Euro. Radiol.; 10(7):1043-1050,2003. |
| [21] | Bianch S, Martinoil C and Abdel Wahab IF.(1999). High Frequency Ultrasound examination of the wrist and hand .Skeletal Radiology, 28:121-129, 1999. |
| [22] | Glajchen N and Schweitzer M. (2004). MRI features of De Quervain tenosynovitis of the wrist. Skeletal Radiology; 63-65, 2004. |
| [23] | Thomas Moser, Jean-Claude Dosch and Akli Moussaoui (2007). Wrist Ligament Tears: Evaluation of MRI and Combined MDCT and MR Arthrography. AJR; 188:1278-1286, 2007. |
| [24] | Schmitt R, Christopoulos G, Meier R, et al. (2003). Direct MRarthrography of the wrist in comparison with arthroscopy: a prospective study on 125 patients. Rofo; 175(7):911–9, 2003. |
| [25] | Lynne S. Steinbach, MD, William E., et al. (2002). Special focus session, MR Arthrography. Radiographics, 22; 1223-1246, 2002. |
| [26] | Amrami KK (2006). Magnetic resonance arthrography of the wrist: case presentation and discussion. J Hand Surg Am.; 31:669–72, 2006. |
| [27] | Marco, Zanetti , Nadja, Saupe , Ladislav and Nagy (2007). Role of MR imaging in chronic wrist pain. Eur Radiol; 17: 927–938, 2007. |
| [28] | Nicolas H. Theumann.MD, Ghazal Etechami.MD and Bertrand Duvoisin MD (2006). Association between Extrinsic and Intrinsic Carpal Ligament Injuries at MR Arthrography and Carpal Instability at Radiography: Initial Observations. Radiology; 238 (3): 950-957, 2006. |
APA Style
Mohamed Basiouny Alghannam, Mohamed Ramadan El-Kholy, Ashraf Anas Zytoon, Ayman Mohamed Ebied. (2014). The Role of MRI and MR Arthrography in Evaluation of Wrist Pain. International Journal of Medical Imaging, 2(6), 149-155. https://doi.org/10.11648/j.ijmi.20140206.16
ACS Style
Mohamed Basiouny Alghannam; Mohamed Ramadan El-Kholy; Ashraf Anas Zytoon; Ayman Mohamed Ebied. The Role of MRI and MR Arthrography in Evaluation of Wrist Pain. Int. J. Med. Imaging 2014, 2(6), 149-155. doi: 10.11648/j.ijmi.20140206.16
AMA Style
Mohamed Basiouny Alghannam, Mohamed Ramadan El-Kholy, Ashraf Anas Zytoon, Ayman Mohamed Ebied. The Role of MRI and MR Arthrography in Evaluation of Wrist Pain. Int J Med Imaging. 2014;2(6):149-155. doi: 10.11648/j.ijmi.20140206.16
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Download@article{10.11648/j.ijmi.20140206.16,
author = {Mohamed Basiouny Alghannam and Mohamed Ramadan El-Kholy and Ashraf Anas Zytoon and Ayman Mohamed Ebied},
title = {The Role of MRI and MR Arthrography in Evaluation of Wrist Pain},
journal = {International Journal of Medical Imaging},
volume = {2},
number = {6},
pages = {149-155},
doi = {10.11648/j.ijmi.20140206.16},
url = {https://doi.org/10.11648/j.ijmi.20140206.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijmi.20140206.16},
abstract = {Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving technique to assess the cause of wrist pain. It also plays an important prognostic role. MRA is an excellent tool in assessing TFC and wrist ligaments injury. Methods: This study was conducted on 60 patients complaining of chronic wrist pain. The patients were referred to the radiology department from the outpatient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by x-ray and conventional MRI. 15 patients with suspected triangular fibrocartilage complex (TFC) and/or ligament injury underwent MRA as well. Data of soft tissue and osseous lesions were collected and analyzed. Results: There were thirty four males and twenty six females, their ages ranged between 17 & 59 years (mean age, 38 years). Joint effusion, kienbock disease and ganglion cysts were the most common findings in conventional MRI . TFC injury was the most common finding in MRA. Conclusion: MRI has a dramatic impact on the diagnosis and assessment of variety of wrist disorders. It is non invasive and ideal modality to demonstrate the complex anatomy and pathological conditions of the wrist. MRA is an excellent tool in assessing TFC and ligaments injury.},
year = {2014}
}
TY - JOUR T1 - The Role of MRI and MR Arthrography in Evaluation of Wrist Pain AU - Mohamed Basiouny Alghannam AU - Mohamed Ramadan El-Kholy AU - Ashraf Anas Zytoon AU - Ayman Mohamed Ebied Y1 - 2014/12/23 PY - 2014 N1 - https://doi.org/10.11648/j.ijmi.20140206.16 DO - 10.11648/j.ijmi.20140206.16 T2 - International Journal of Medical Imaging JF - International Journal of Medical Imaging JO - International Journal of Medical Imaging SP - 149 EP - 155 PB - Science Publishing Group SN - 2330-832X UR - https://doi.org/10.11648/j.ijmi.20140206.16 AB - Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving technique to assess the cause of wrist pain. It also plays an important prognostic role. MRA is an excellent tool in assessing TFC and wrist ligaments injury. Methods: This study was conducted on 60 patients complaining of chronic wrist pain. The patients were referred to the radiology department from the outpatient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by x-ray and conventional MRI. 15 patients with suspected triangular fibrocartilage complex (TFC) and/or ligament injury underwent MRA as well. Data of soft tissue and osseous lesions were collected and analyzed. Results: There were thirty four males and twenty six females, their ages ranged between 17 & 59 years (mean age, 38 years). Joint effusion, kienbock disease and ganglion cysts were the most common findings in conventional MRI . TFC injury was the most common finding in MRA. Conclusion: MRI has a dramatic impact on the diagnosis and assessment of variety of wrist disorders. It is non invasive and ideal modality to demonstrate the complex anatomy and pathological conditions of the wrist. MRA is an excellent tool in assessing TFC and ligaments injury. VL - 2 IS - 6 ER -
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