TFCC disc injury and UCCL complete tear: on wrist MRI arthrogram

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Chronic pain on left wrist for 6 weeks after lifting heavy object at gym. Clinical examination: tenderness on ulnar side of the wrist and painful radial deviation.

Patient Data

Age: 22
Gender: Male

Pooling of contrast material at the ulnar side of wrist joint. No leakage into midcarpal apace and DRUJ.

  • Early subchondral sclerosis at the distal end of radial bone on T1 and T2.
  • Complete UCCL tear.
  • TFCC complex tear and detachment at region of TFCC disc  and ulnar-triquetral ligament with associated intra-articular contrast pooling at ulnar side of wrist joint.
  • Mild joint effusion in pre-contrast films.
  • Intact radioulnar ligament of TFCC without any contrast leakage into DRUJ.
  • Intact scapholunate and lunotriquetral ligaments with no contrast leakage into the midcarpal space.
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Case information

rID: 47619
Case created: 24th Aug 2016
Last edited: 24th Aug 2016
Inclusion in quiz mode: Included

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