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Chapter 6: The Hand and Wrist
David Stoller, MD

6.3 - Wrist Arthrography

To have accuracy rates matching arthrography, a matrix size of 512 x 384 is required in the coronal plane in non-arthrography cases. This is often not practical because of scheduling demands. Therefore, MR arthrography is often a useful alternative for looking at tears of the intrinsic ligaments, particularly the scapholunate ligament complex, or the lunotriquetral ligament complex.

The coronal plane is particularly useful for evaluating the volar radiocarpal ligaments which consist of the radioscaphocapitate, radiolunotriquetral, or long radiolunate, and radioscapholunate ligaments. The axial plane is particularly useful for evaluating the carpal tunnel, evaluating tenosynovitis, assessing the morphology and signal characteristics of the medial nerve, and also the detection of ganglions.

The sagittal plane is useful for evaluating the TFCC and its component parts including the dorsal and volar radioulnar ligaments and the articular disc. The alignment of the carpus in a static state is assessed by evaluating the capitolunate angle provided that the wrist is positioned without either ulnar or radial deviation.


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