Magnetic Resonance Arthrography of the Wrist and Elbow

LiMarzi, Gary M.; O’Dell, M. Cody; Scherer, Kurt; Pettis, Christopher; Wasyliw, Christopher; Bancroft, Laura W.

doi:10.1016/j.mric.2015.04.003

Cited by 25 publications

(17 citation statements)

References 37 publications

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“…Historically, direct wrist arthrography used a two- or three-compartment approach, whereby contrast was injected into multiple compartments of the wrist, and imaging (MRI or radiography) was performed to determine whether there was abnormal communication between the compartments that indicated a tear in the intervening supporting structures [ 19 ]. More recently, many centres have favoured a single compartment approach into the radiocarpal joint because the multiple compartment approach can cause discomfort to the patient and result in false negative studies [ 20 ], and the single compartment injection should increase the intra-articular pressure and drive contrast into an adjacent compartment if there is an abnormal communication [ 21 , 22 ]. In indirect arthrography, the synovium begins to excrete gadolinium at about 10-11 minutes, and postcontrast imaging is usually performed at about 25-30 minutes following the injection to allow enough gadolinium to enter the joint [ 23 , 24 ].…”

Section: Magnetic Resonance Imaging Techniquesmentioning

confidence: 99%

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Magnetic resonance imaging of the wrist and hand

Vassa¹,

Garg²,

Omar³

2020

Pol J Radiol

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The anatomy of the wrist and hand is complex and contains numerous small structures. Magnetic resonance imaging (MRI) is often an ideal imaging modality in the assessment of various traumatic and pathologic conditions of this region, and it is frequently performed after initial radiographs. In this manuscript we describe the normal anatomy, imaging techniques, and MRI findings of various traumatic and pathologic conditions of the wrist and hand including occult fractures, osteonecrosis, ligamentous and tendon injuries, and entrapment neuropathies.

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Section: Magnetic Resonance Imaging Techniquesmentioning

confidence: 99%

“…Furthermore, increasing the intra-articular pressure can cause extravasation of the dilute gadolinium, either along the needle tract or through weaker areas of the joint capsule, which can either obscure or mimic pathology. Finally, it results in greater economic cost and takes more time to perform [ 22 ].…”

Section: Magnetic Resonance Imaging Techniquesmentioning

confidence: 99%

Magnetic resonance imaging of the wrist and hand

Vassa¹,

Garg²,

Omar³

2020

Pol J Radiol

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“…MRA through distension of the joint capsule with intra-articular contrast improves conventional MRI sensitivity in the evaluation of partial ligament tears and early osteochondral injuries. 17,18 Ultrasound (US) has a limited role in the acute setting of elbow trauma in the adult population. It can be an alternative to MRI in the study of ligamentous, muscle, and tendon injuries, particularly in patients who are claustrophobic or with contraindications to MRI.…”

mentioning

confidence: 99%

Emergency and Trauma of the Elbow

Bazzocchi

Gómez

Bartoloni

et al. 2017

Semin Musculoskelet Radiol

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The elbow is a joint composed of three different articulations all included in the same synovial capsule, with a complex anatomy that allows two kinds of motion: flexion-extension and pronation and supination. Stabilization of the elbow is provided by osseous and ligamentous structures.When assessing the elbow in the traumatic setting, the mechanism of injury determines the pattern of osseous and ligamentous lesion, with potential important implications on elbow instability. The role of the radiologist in the assessment of the traumatic elbow requires an understanding of the most common injury mechanisms in traumatic elbow injuries. This knowledge facilitates the detection of potential secondary occult bone and soft tissue injuries that could lead to chronic instability.We analyze the acute patterns of injury of the osseous, ligamentous, musculotendinous, and neurovascular structures, with a focus on the most commonly used classifications of fractures and fracture-dislocations. We also discuss the therapeutic management of these injuries, with mention of the most frequently used surgical techniques and the commonly expected posttreatment findings.Finally, we review the repetitive microtrauma patterns of injury of the elbow joint structures and the most common pitfalls in the interpretation of elbow imaging.

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“…It also allows detection of abnormal communication between joint compartment and extra-articular soft tissues. Indirect MR arthrography is less invasive and may be useful in some cases when direct MR arthrography is not feasible [9].…”

Section: Imaging Techniquementioning

confidence: 99%

“…Partial tears can be subtle and are well seen with magnetic resonance arthrography (Fig. 3c) [8, 9]. These patients may have associated findings, including lateral impaction and shearing of the articular surfaces of the capitellum and the radial head (Figs.…”

Section: Ligamentous Pathologymentioning

confidence: 99%

The elbow: review of anatomy and common collateral ligament complex pathology using MRI

et al. 2019

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The elbow is a complex joint whose stability is imparted by osseous and soft-tissue constraints. Anatomical and biomechanical knowledge of the supporting structures that provide stability to the medial and lateral elbow is essential to correctly interpret the pathological findings. Conventional MRI and MR arthrography are the imaging modalities of choice in the evaluation of elbow ligament injuries. Elbow instability can be classified according to timing (acute, chronic, or recurrent), the direction of displacement, the degree of displacement, and the articulations involved. This article reviews the MR imaging protocols recommended for each diagnosis and the normal anatomy and biomechanical aspects of the medial and lateral collateral ligament complex. We also present multiple cases of typical and atypical patterns of injury.

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Magnetic Resonance Arthrography of the Wrist and Elbow

Cited by 25 publications

References 37 publications

Magnetic resonance imaging of the wrist and hand

Magnetic resonance imaging of the wrist and hand

Emergency and Trauma of the Elbow

The elbow: review of anatomy and common collateral ligament complex pathology using MRI

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