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Training Collections
Library Memberships
Buy One, Get One Free!On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Buy One, Get One Free!Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
25% Off!Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
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.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
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.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 4 min.
1 topic,
7 topics, 30 min.
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.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.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.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
Well, we need to do a little drawing to attack wrist
0:04
ligaments, TFC attachments, palmar, and dorsal.
0:09
Let's draw.
0:11
So in the short axis projection, let's make a radius,
0:16
not a very good drawing, and let's make an ulna.
0:20
And the joint between the two is
0:22
the radioulnar articulation.
0:25
Let me change color here so I can draw my
0:28
dorsal and my palmar radioulnar ligaments.
0:32
Yeah, it's very rudimentary, but I'm kind of liking it.
0:36
A polar bear, a caveman, I'm keeping it simple.
0:39
But, coming from these ligaments
0:42
to the carpus are attachments.
0:44
And you can best appreciate those by
0:47
me drawing a little more sophisticated
0:49
the triangular fibrocartilage.
0:52
Then I'm going to change color again.
0:55
And from the triangular fibrocartilage, we're
0:57
going to have attachments that go to the
0:59
carpus more towards the middle of the wrist.
1:02
The ulnocarpal ligaments.
1:04
And there'll be some in the front, volar ones.
1:07
And there'll be some in the back.
1:09
Dorsal ones.
1:11
And then there'll be a peripheral set.
1:14
I'll make those yellow.
1:16
And those are also ulnocarpal ligaments, but they have
1:19
a nice specific name, the ulnotriquetral ligaments.
1:22
I'm gonna have some in the front,
1:23
volar, and some in the back, dorsal.
1:26
Now, granted, this is a planar drawing, but
1:29
you have to imagine in your head that these
1:31
ligaments are going from proximal to distal.
1:36
Now, let's have a look in the sagittal projection.
1:40
Which is often a source of confusion.
1:43
Remember we have a dorsal radioulnar ligament.
1:46
Here it is.
1:48
It's the condensation of the TFC dorsally.
1:53
From that ligament, we're gonna have another
1:56
ligament that goes from it, from the dorsal
1:58
radioulnar ligament, to the carpus.
2:01
There it is.
2:02
And that particular one is right here.
2:04
Right near the lunotriquetral ligament.
2:07
So this is an ulnocarpal ligament.
2:11
If we follow that same supposition, and we go more
2:15
peripherally towards the triquetrum, that's an
2:19
ulnocarpal ligament known as the ulnotriquetral
2:23
dorsal ligament, or dorsal ulnotriquetral ligament.
2:27
If we take the same supposition in the
2:31
front, this anterior condensed tissue here
2:35
would be the palmar aspect, here it is, the
2:39
palmar aspect of the radioulnar ligament.
2:43
or volar radioulnar ligament.
2:46
The ligament going from it to the carpus
2:48
is going to be an ulnocarpal ligament.
2:51
If we then follow that same supposition and we
2:53
go off towards the side, towards the triquetrum,
2:56
there, coming off the volar condensation
3:00
of the TFC, coming off the palmar or volar
3:04
radioulnar ligament, is the ulnocarpal
3:06
ligament known as the ulnotriquetral ligament.
3:10
The palmar ulnar triquetral ligament.
3:15
The dorsal ulnotriquetral ligament.
Interactive Transcript
0:00
Well, we need to do a little drawing to attack wrist
0:04
ligaments, TFC attachments, palmar, and dorsal.
0:09
Let's draw.
0:11
So in the short axis projection, let's make a radius,
0:16
not a very good drawing, and let's make an ulna.
0:20
And the joint between the two is
0:22
the radioulnar articulation.
0:25
Let me change color here so I can draw my
0:28
dorsal and my palmar radioulnar ligaments.
0:32
Yeah, it's very rudimentary, but I'm kind of liking it.
0:36
A polar bear, a caveman, I'm keeping it simple.
0:39
But, coming from these ligaments
0:42
to the carpus are attachments.
0:44
And you can best appreciate those by
0:47
me drawing a little more sophisticated
0:49
the triangular fibrocartilage.
0:52
Then I'm going to change color again.
0:55
And from the triangular fibrocartilage, we're
0:57
going to have attachments that go to the
0:59
carpus more towards the middle of the wrist.
1:02
The ulnocarpal ligaments.
1:04
And there'll be some in the front, volar ones.
1:07
And there'll be some in the back.
1:09
Dorsal ones.
1:11
And then there'll be a peripheral set.
1:14
I'll make those yellow.
1:16
And those are also ulnocarpal ligaments, but they have
1:19
a nice specific name, the ulnotriquetral ligaments.
1:22
I'm gonna have some in the front,
1:23
volar, and some in the back, dorsal.
1:26
Now, granted, this is a planar drawing, but
1:29
you have to imagine in your head that these
1:31
ligaments are going from proximal to distal.
1:36
Now, let's have a look in the sagittal projection.
1:40
Which is often a source of confusion.
1:43
Remember we have a dorsal radioulnar ligament.
1:46
Here it is.
1:48
It's the condensation of the TFC dorsally.
1:53
From that ligament, we're gonna have another
1:56
ligament that goes from it, from the dorsal
1:58
radioulnar ligament, to the carpus.
2:01
There it is.
2:02
And that particular one is right here.
2:04
Right near the lunotriquetral ligament.
2:07
So this is an ulnocarpal ligament.
2:11
If we follow that same supposition, and we go more
2:15
peripherally towards the triquetrum, that's an
2:19
ulnocarpal ligament known as the ulnotriquetral
2:23
dorsal ligament, or dorsal ulnotriquetral ligament.
2:27
If we take the same supposition in the
2:31
front, this anterior condensed tissue here
2:35
would be the palmar aspect, here it is, the
2:39
palmar aspect of the radioulnar ligament.
2:43
or volar radioulnar ligament.
2:46
The ligament going from it to the carpus
2:48
is going to be an ulnocarpal ligament.
2:51
If we then follow that same supposition and we
2:53
go off towards the side, towards the triquetrum,
2:56
there, coming off the volar condensation
3:00
of the TFC, coming off the palmar or volar
3:04
radioulnar ligament, is the ulnocarpal
3:06
ligament known as the ulnotriquetral ligament.
3:10
The palmar ulnar triquetral ligament.
3:15
The dorsal ulnotriquetral ligament.
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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