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.0:01
Imaging of the wrist carries with it
0:04
some pitfalls and a lot of options.
0:07
The first option is to put the arm up
0:09
over the head in the Superman position.
0:12
Now, for an old geezer like me, extremely uncomfortable
0:16
to lie in that position for 30 minutes or more.
0:19
In fact, for athletes, it's even uncomfortable.
0:21
But, it has an advantage.
0:23
It allows you to take what are very
0:26
flexible coils, put them flatly against the
0:29
wrist, and obtain a small field of view.
0:33
In fact, smaller fields of view than you
0:35
would get if the arm was lying at the side.
0:38
Notice, too, you've got a larger circular
0:41
flat coil and a smaller circular flat coil.
0:45
This one, for a smaller field
0:47
of view but better penetration.
0:49
And this one, for a larger field
0:51
of view, with less penetration.
0:54
But still, this overhead Superman
0:57
position, while uncomfortable, can
1:00
generate some extremely high resolution.
1:04
And we've also got more rigid coils.
1:07
The rigid coils are usually
1:08
used with the arm at the side.
1:11
The hand can be pronated, important in your
1:15
assessment of anatomy, since certain structures,
1:18
like the extensor carpi ulnaris, will shift.
1:21
In the pronated position, or you can
1:24
have a rigid, rectangular coil with the
1:26
arm or hand in the neutral position.
1:31
This would also give you a different
1:33
appearance of the relative positioning
1:37
of certain structures, like tendons,
1:39
relative to skeletal structures.
1:42
So, soft coils, arm over the head.
1:45
Hard coils, arm at the side.
1:48
You can also use the soft
1:49
coils with the arm at the side.
1:52
But you're going to get a smaller field of view
1:54
with higher resolution with the arm over the head.
1:57
This will become more important when
1:59
we deal with the hand and the fingers.
Using Coils
HIDEInteractive Transcript
0:01
Imaging of the wrist carries with it
0:04
some pitfalls and a lot of options.
0:07
The first option is to put the arm up
0:09
over the head in the Superman position.
0:12
Now, for an old geezer like me, extremely uncomfortable
0:16
to lie in that position for 30 minutes or more.
0:19
In fact, for athletes, it's even uncomfortable.
0:21
But, it has an advantage.
0:23
It allows you to take what are very
0:26
flexible coils, put them flatly against the
0:29
wrist, and obtain a small field of view.
0:33
In fact, smaller fields of view than you
0:35
would get if the arm was lying at the side.
0:38
Notice, too, you've got a larger circular
0:41
flat coil and a smaller circular flat coil.
0:45
This one, for a smaller field
0:47
of view but better penetration.
0:49
And this one, for a larger field
0:51
of view, with less penetration.
0:54
But still, this overhead Superman
0:57
position, while uncomfortable, can
1:00
generate some extremely high resolution.
1:04
And we've also got more rigid coils.
1:07
The rigid coils are usually
1:08
used with the arm at the side.
1:11
The hand can be pronated, important in your
1:15
assessment of anatomy, since certain structures,
1:18
like the extensor carpi ulnaris, will shift.
1:21
In the pronated position, or you can
1:24
have a rigid, rectangular coil with the
1:26
arm or hand in the neutral position.
1:31
This would also give you a different
1:33
appearance of the relative positioning
1:37
of certain structures, like tendons,
1:39
relative to skeletal structures.
1:42
So, soft coils, arm over the head.
1:45
Hard coils, arm at the side.
1:48
You can also use the soft
1:49
coils with the arm at the side.
1:52
But you're going to get a smaller field of view
1:54
with higher resolution with the arm over the head.
1:57
This will become more important when
1:59
we deal with the hand and the fingers.
Report
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Musculoskeletal (MSK)
MRI
Idiopathic
Hand & Wrist
© 2024 Medality. All Rights Reserved.