Vickers ligament

Case contributed by Dr Tim Luijkx

Presentation

Sudden onset of pain left wrist.

Patient Data

Age: 30 years
Gender: Female
X-ray

Findings in keeping with Madelung deformity
Exaggerated radial inclination, “V-shaped” proximal carpal row wedged between radius and ulna and positive ulnar variance

MRI

Madelung deformity with Vickers ligament (yellow arrow on annotated coronal slices)

Ganglions on dorsal and volar side of scapholunate joint

Dorsal radiocarpal synovitis 

Physiological luxation of ECU tendon with wrist in supination (best seen on the axial images)

Annotated image

yellow arrow: Vickers ligament
red arrow: TFCC inserting on the radius

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Case information

rID: 37536
Published: 2nd Aug 2015
Last edited: 13th Oct 2019
Inclusion in quiz mode: Included

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