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Coronal Anatomy: Bony Anatomy

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Welcome to MRI online, coronal bony anatomy.

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Oh, it's delicious.

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Because it's like an AP radiograph of the wrist.

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All you have to do is remember, never

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lower Tilly's pants mother might come home.

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Those are the bones.

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So we've got navicular, lunate, triquetrum,

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pisiform, multangular, multangular, greater

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and lesser multangular, also known as

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trapezium and trapezoid, capitate, capitate.

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And in the axial projection, you're

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going to see the hamulus or hamate hook.

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Well, that's pretty simple.

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Then we've got the radius and the ulna.

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The ulna fits in the sigmoid notch of the radius,

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also known as the ulnar notch, and we'll pay

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very close attention to the relationship and

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congruence of this area and look for fluid as

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an indirect sign of a problem with the TFC.

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We're interested in the status, the

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smoothness, the congruity with the adjacent

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soft tissues of the ulnar fovea or fossa.

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We're looking at the shape or lack thereof,

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blunting, overgrowth, fracture, fragments

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distal to it of the ulnar styloid.

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We're looking at the lunate fossa of

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the radius and looking at the congruence

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and cartilage relationship of both.

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And we're looking, importantly, at the scaphoid

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fossa of the radius, for this is where the

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changes of slack wrist, or scapholunate

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advanced collapse, may manifest themselves

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and add to our grading system for slack wrist.

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Don't forget, you're also going to be

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evaluating the carpo metacarpal junctions for

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erosions, especially in laborers and people

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with So that's basic, basic bony anatomy.

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Thank you.

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Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Tags

Trauma

Non-infectious Inflammatory

Musculoskeletal (MSK)

MRI

Hand & Wrist

Congenital

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