Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
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
© 2024 Medality. All Rights Reserved.