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Sagittal Anatomy Part3

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0:01

Sagittal wrist MRI, the dreaded

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ligaments in the dreaded projection.

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Not a good combination, but let's

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have at it with some simplicity.

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We're not going to take every ligament; we've

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explored them in other vignettes, but let's

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start out with the radioscaphocapitate ligament,

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which comes off the radial styloid and has a V

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shaped or inverted V-shaped configuration on the

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radial side of the wrist coronally, and here it

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is cross-referenced in front of the scaphoid.

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as a thick, dark band allowing

0:35

the scaphoid to stand up.

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In other words, when we lose this ligament, along with

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the scapholunate stabilizers, the scaphoid will sag

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downward or will rotate in a counterclockwise fashion.

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Another highlighted ligament in this projection,

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which you've heard about before, is the

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dorsal, or dorsal, radial ligament of the thumb.

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It's a little bit counterintuitive

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to think of the strongest

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and most important stabilizing ligament of the thumb

1:08

being seen in the sagittal projection, but it is.

1:11

There it is from the greater multangular or

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trapezium to the base of the first metacarpal.

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You must confirm the integrity of this ligament.

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Then we get into the triangular

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fibrocartilage attachments.

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That's where it gets really dicey.

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The triangular fibrocartilage is anchored

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by its posterior condensation to known

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as the dorsal radial ulnar ligament.

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And the anterior condensation right here, known

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as the palmar or volar radial ulnar ligament.

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And from these ligaments come some other ligaments

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known as the ulnar collateral ligaments.

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This is a good stopping point, and we'll

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return in a separate vignette to dissect

1:59

those as part of our sagittal atomic analysis.

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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