TOTBİD Dergisi

TOTBİD Dergisi

2021, Cilt 20, Sayı, 4     (Sayfalar: 395-405)

Wrist ulnar side imaging

Müjgan Orman 1, Ahmet Alperen Öztürk 2

1 International Medicana Hospital, Radyoloji Kliniği, İstanbul Esenyurt Üniversitesi Sağlık Meslek Yüksek Okulu, İstanbul
2 SBÜ Prof. Dr. Cemil Taşcıoğlu Şehir Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul

DOI: 10.14292/totbid.dergisi.2021.65
Görüntüleme: 789
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İndirme : 1878

Small anatomical structures and the variety of disorders that can cause symptoms are factors that make diagnosis and treatment difficult in ulnar side pain. Imaging methods are important in the evaluation of ulnar sided wrist pain. Conventional radiographs, conventional arthrography, computed tomography (CT), magnetic resonance imaging (MRI) and magnetic resonance (MR) arthrography are useful radiological methods especially when used together. Conventional radiographs are useful in showing ulnar variance, carpal alignment, evidence of trauma and degenerative changes. CT is especially useful in detecting or excluding occult fractures, in evaluating the subluxation and luxation of the wrist, and in determining the malrotation of the radius and ulna. Conventional arthrography can be used to detect complete and partial tears of the triangular fibrocartilage complex (TFCC), as well as to detect pathological communication between the radiocarpal and midcarpal joints. MRI is superior for evaluation of ligament disruption, cartilage defects, tendon abnormalities, occult fractures and avascular necrosis. MR arthrography adds visualization of bone marrow, ligaments and soft tissue to the benefit of conventional arthrography in detecting TFCC tears. MR arthrography has replaced conventional arthrography. This article reviews imaging modalities for ulnar sided wrist pain.

Anahtar Kelimeler : radiography; computed tomography; magnetic resonance imaging; arthrography; ultrasonography