Presentation
Persistent volar radial wrist pain over 6 months.
Patient Data
mild radio scaphoid joint effusion
fluid signal within the flexor carpi radialis tendon (FCR) sheath due to tenosynovitis
the distal FCR tendon within the hand is flattened and the adjacent trapezial ridge exhibits mild reactive marrow edema
bone marrow edema along with hamate hook and pisiform bones
the fluid signal within the flexor pollicis longus tendon sheath due to tenosynovitis
abnormal intrasubstance increased fluid signal along with triangular fibrocartilage proximal and distal lamina related to TFCC sprain
mild distal radioulnar joint effusion
Case Discussion
MRI features are consistent with flexor carpi radialis tendinopathy and trapezium bone marrow edema. Flexor carpi radialis (FCR) tendinopathy presents with pain in the volar radial wrist. It usually develops due to chronic overuse, particularly in areas of the tendon that are exposed to rough surfaces.
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