Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Training Collections
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
Lesson
Wrist MRI Mastery Series: Pre-Course Activities
1 topic, 4 min.
Lesson
Wrist MRI Mastery Series: Introduction to Wrist Imaging
1 topic,
Lesson
Wrist MRI Mastery Series: Imaging Techniques & Protocols
7 topics, 30 min.
Lesson
Wrist MRI Mastery Series: Anatomy
37 topics, 1 hr. 24 min.
Coronal Anatomy: Bony Anatomy
3 m.Coronal Anatomy: Hyaline Cartilage
3 m.Coronal Anatomy: Variance
4 m.Coronal Anatomy: Triangular Fibrocartilage
5 m.Coronal Anatomy: Peripheral TFCC Relationships
5 m.Coronal Anatomy: Intrinsic Ligaments Part 1
3 m.Coronal Anatomy: Intrinsic Ligaments Part 2
4 m.Coronal Anatomy: Extrinsic Ligaments Part 1
1 m.Coronal Anatomy: Extrinsic Ligaments Part 2
1 m.Coronal Anatomy: Extrinsic Ligaments Part 3
2 m.Coronal Anatomy: Extrinsic Ligaments Part 4
1 m.Coronal Anatomy: Extrinsic Ligaments Part 5
2 m.Coronal Anatomy: Extrinsic Ligaments Part 6
2 m.Diagramatic Anatomy: Extrinsic Ligaments Part 7
2 m.MRI Correlation: Extrinsic Ligaments Part 8
2 m.Coronal Anatomy: Extrinsic Ligaments Part 9
2 m.Coronal Anatomy: Extrinsic Ligaments Part 10
2 m.Coronal Anatomy: Extrinsic Ligaments Part 11
2 m.Coronal Anatomy: Extrinsic Ligaments Part 12
2 m.Extrinsic Ligaments: Thumb Part 1
1 m.Extrinsic Ligaments: Thumb Part 2
1 m.Extrinsic Ligaments: Thumb Part 3
2 m.Axial Anatomy: Radioulnar Joint
4 m.Proximal Anatomy: Nerves, Tendons & Vessels
4 m.Axial Anatomy: Extensor Tendons
4 m.Axial Anatomy: Extensor Tendons on MRI
3 m.Axial Anatomy: The Carpal Tunnel
5 m.Axial Anatomy: Guyon’s Canal
4 m.Axial Anatomy: Intrinsic Ligaments
3 m.Axial Anatomy: Extrinsic Ligaments
2 m.Axial Anatomy: Collateral Ligaments
3 m.Axial Anatomy: Extrinsic Ligaments Part 2
2 m.Sagittal Anatomy Part 1
2 m.Sagittal Anatomy Part 2
2 m.Sagittal Anatomy Part3
3 m.Sagittal Anatomy Part 4
4 m.Sagittal Anatomy Part 5
4 m.Lesson
Wrist MRI Mastery Series: Anatomy - Focus on the TFC
9 topics, 26 min.
Triangular Fibrocartilage: The Importance of the TFC
2 m.Triangular Fibrocartilage: Cartilage Anatomy
3 m.Triangular Fibrocartilage: Bony Architecture
6 m.Triangular Fibrocartilage: Anatomic Boundaries
7 m.Triangular Fibrocartilage: Micrograph View
3 m.Triangular Fibrocartilage: Magnified MRI
3 m.Triangular Fibrocartilage: Zooming Out on MRI
2 m.Triangular Fibrocartilage: Capsulo-synovial Reflections
3 m.Triangular Fibrocartilage: Focus on the Ulnar Styloid
3 m.Lesson
Wrist MRI Mastery Series: Case Review
19 topics, 1 hr. 32 min.
Case Review: Focus On Instability Part 1
3 m.Case Review: Focus On Instability Part 2
4 m.Case Review: Focus On Instability Part 3
4 m.Case Review: Focus on Instability
5 m.Case Review: 21 Year Old Male, Jammed Wrist and Now Has Pain
7 m.Case Review: Staging SLAC Wrist
5 m.Case Review: 52 Year Old Male with Medial Wrist Pain
9 m.Case Review: 15 Year Old Gymnast with Wrist Pain
8 m.Case Review: 14 Year Old Male Who Fell On Outstretched Hand
7 m.Case Review: 15 Year Old Female with Ulnar Sided Pain
8 m.Case Review: 42 Year Old Woman with Ulnar Sided Pain
6 m.Case Review: Additional Findings Discussion From Previous Case
7 m.Case Review: 42 Year Old Female – Assessing Variance
8 m.Case Review: 56 Year Old Male – Wrist Instability Overview
3 m.Case Review: 56 Year Old Male – Classifying Carpal Instability
4 m.Case Review: 56 Year Old Male – Classifying Carpal Instability Part 2
4 m.Case Review: 56 Year Old Male – Classifying Instability in the Short Axis
4 m.Case Review: 56 Year Old Male – Classifying Instability in the Sagittal Plane
4 m.Case Review: 56 Year Old Male – Classifying Instability – Dislocations
4 m.Lesson
Wrist MRI Mastery Series: Surgical Perspective - Case Review
11 topics, 1 hr. 4 min.
Scapholunate Injury from FOOSH
4 m.Differentiating Between Type 1 & 2 Lunates
2 m.Necrosis of the Lunate
8 m.Non-Stener UCL Injury
6 m.Professional Athlete with Hyperextension Injury
9 m.High Grade Stener Lesion
7 m.Microtrabecular Fracture of the Scaphoid
9 m.High Grade Waist Fracture of the Scaphoid
7 m.Radial Pulley Injury
6 m.Degenerated TFC
8 m.Peripheral TFC Injury with Styloid Remodeling
5 m.0:00
Coronal photomicrograph of the triangular
0:02
fibrocartilage emphasizing boundary attachments.
0:06
The radial attachment is not
0:09
directly to this cortex right here.
0:11
It's actually to a not very well
0:14
seen layer of hyaline cartilage.
0:18
Underneath the triangular fibrocartilage is a
0:21
space, the capsule, or the synovial reflection,
0:25
and sometimes that may be a little thickened
0:27
or even filled with a little bit of fluid.
0:31
Our triangular fibrocartilage then continues
0:34
on peripherally, and along the outer aspect
0:37
of the triangle, if we're looking at the TFC
0:39
from the top down, it's right at the periphery
0:41
over here, which would correspond to over here.
0:46
The TFC has a little kink or fold,
0:50
and that fold heads into the fovea.
0:55
That fold, along with the accompanying
0:58
vasculature, which enters into it, is
1:01
known as the deep layer of the peripheral
1:04
attachment or the ligamentum subcruentum.
1:09
We have some more superficial and distal
1:11
attachments we'll show you in a few moments.
1:15
As we move peripherally towards the ulnar
1:17
styloid, which is a terrific landmark,
1:22
we see the meniscus homolog, which is a
1:25
filler substance surrounded by fibroelastic
1:28
tissue of the capsule, sometimes condensed.
1:33
As a linear structure that you can separate
1:36
from the rest of the tissues is the ulnar
1:38
collateral ligament, but not always.
1:41
Next to it is the extensor carpi ulnaris
1:46
subsheath, which is this lighter layer right here.
1:50
So we have extensor carpi ulnaris, subsheath,
1:54
capsule, homolog, TFC, superficial and
2:00
deep layers of the peripheral attachment.
2:02
The attachment to the radius, and we've already
2:05
discussed, in a separate vignette, the ulnar carpal
2:09
attachments and the palmar and dorsal distribution.
2:13
Let's have a look at some MRIs, if you've got the time.
Triangular Fibrocartilage: Micrograph View
HIDEInteractive Transcript
0:00
Coronal photomicrograph of the triangular
0:02
fibrocartilage emphasizing boundary attachments.
0:06
The radial attachment is not
0:09
directly to this cortex right here.
0:11
It's actually to a not very well
0:14
seen layer of hyaline cartilage.
0:18
Underneath the triangular fibrocartilage is a
0:21
space, the capsule, or the synovial reflection,
0:25
and sometimes that may be a little thickened
0:27
or even filled with a little bit of fluid.
0:31
Our triangular fibrocartilage then continues
0:34
on peripherally, and along the outer aspect
0:37
of the triangle, if we're looking at the TFC
0:39
from the top down, it's right at the periphery
0:41
over here, which would correspond to over here.
0:46
The TFC has a little kink or fold,
0:50
and that fold heads into the fovea.
0:55
That fold, along with the accompanying
0:58
vasculature, which enters into it, is
1:01
known as the deep layer of the peripheral
1:04
attachment or the ligamentum subcruentum.
1:09
We have some more superficial and distal
1:11
attachments we'll show you in a few moments.
1:15
As we move peripherally towards the ulnar
1:17
styloid, which is a terrific landmark,
1:22
we see the meniscus homolog, which is a
1:25
filler substance surrounded by fibroelastic
1:28
tissue of the capsule, sometimes condensed.
1:33
As a linear structure that you can separate
1:36
from the rest of the tissues is the ulnar
1:38
collateral ligament, but not always.
1:41
Next to it is the extensor carpi ulnaris
1:46
subsheath, which is this lighter layer right here.
1:50
So we have extensor carpi ulnaris, subsheath,
1:54
capsule, homolog, TFC, superficial and
2:00
deep layers of the peripheral attachment.
2:02
The attachment to the radius, and we've already
2:05
discussed, in a separate vignette, the ulnar carpal
2:09
attachments and the palmar and dorsal distribution.
2:13
Let's have a look at some MRIs, if you've got the time.
Report
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Musculoskeletal (MSK)
MRI
Idiopathic
Hand & Wrist
Congenital
Acquired/Developmental
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