Case Challenge

Hand & Wrist

Stephen J Pomeranz

Gain confidence interpreting Hand MRI with practice cases from MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME. Try it free!

Case Review

Musculoskeletal (MSK)

Case 1 - 63-year-old female presents with pain in left hand

Case 2 - 67-year-old male presents with painful mass on left hand

Case 3 - 59-year-old female presents with dog bite on right hand

Case 4 - 15-year-old male presents with pain and lump on right hand

Case 5 - 14-year-old male presents with right hand pain following injury

Case 6 - 57-year-old female presents with left hand hyperesthesia

Case 7 - 48-year-old female presents with dorsal mass on right hand

Case 8 - 50-year-old male presents with swelling of the right hand

Case 9 - 64-year-old male presents with palmar pain in left hand

Case 10 - 61-year-old female presents with a mass on the right hand

Case 11 - 15-year-old male presents with finger pain in right hand

Case 12 - 55-year-old female presents with pinching pain in left hand

Case 13 - 53-year-old male presents with lump at base of index finger

Case 14 - 47-year-old female presents with mild pain in right hand

Case 15 - 58-year-old male presents with mild swollen distal 3rd digit

Case 16 - 48-year-old male presents with dull pain in right hand

Case 17 - 56-year-old female presents with bump at the base of small finger

Case 18 - 41-year-old male presents with right hand pain

Case 19 - 55-year-old male presents with psoriatic arthritis

Case 20 - 30-year-old female presents with fibrolipoma in right hand

Case 21 - 55-year-old female presents with small mass on left hand ring finger

Case 22 - 50-year-old male cannot bend left hand ring finger fully

Case 23 - 57-year-old male presents with pain in right hand

Case 24 - 65-year-old female presents with pain and swelling of the right hand

Case 25 - 61-year-old male unable to straighten fingers on right hand

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Hand MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Hand MRI Cases

<div>HISTORY:&#160;This 57-year-old male presents with pain in right hand for 3-4 weeks.FINGER WITH RUPTURE OF EXTENSOR DIGITORUM TENDON:2nd.Using the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS: No acute bony macrofracture or contusion. A moderate amount of effusion at the distal radioulnar joint. Carpal bones normal in alignment. Small foci of osteochondral erosion scattered in the carpal bones.Interstitial tendinopathy of 4th extensor tendon group with peritendinitis. Recurrent rupture of extensor digitorum tendon to the 2nd finger with a 3 cm gap. The perceived nodule is the distal stump of the tendon. A new slit-like 3mm interstitial tear of the extensor indicis tendon epicentered around the carpometacarpal articulation. The remaining extensor tendon groups intact. Flexor tendons intact.&#160;No acute muscle strain.&#160;CONCLUSION:&#160;1. Recurrent rupture of extensor digitorum tendon to the 2nd finger with a hypertrophic stump at the marked gel cap. Interval development of a thin slit-like interstitial tear of extensor indicis tendon.&#160;2. Mild-moderate arthrosis at the midcarpal compartment with small foci of osteochondral erosion.&#160;3. Interstitial tendinopathy of the remaining extensor digitorum tendons.</div>

Case

There is a rupture of the extensor digitorum tendon to which finger?