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TFCC disc injury and UCCL complete tear (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 UCL tear.
  • TFCC complex tear and detachment at the region of the TFCC disc and ulnotriquetral ligament with associated intra-articular contrast pooling at ulnar side of the 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.
  • MRI signal of bone marrow edema at styloid process of the ulna.
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Case information

rID: 47619
Published: 24th Aug 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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