Volume 2, Issue 6, November 2014, Page: 149-155
The Role of MRI and MR Arthrography in Evaluation of Wrist Pain
Mohamed Basiouny Alghannam, Department of Radiodiagnosis, Faulty of Medicine, Menoufia University, Egypt
Mohamed Ramadan El-Kholy, Department of Radiodiagnosis, Faulty of Medicine, Menoufia University, Egypt
Ashraf Anas Zytoon, Department of Radiodiagnosis, Faulty of Medicine, Menoufia University, Egypt
Ayman Mohamed Ebied, Department of Orthopedics, Faulty of Medicine, Menoufia University, Egypt
Received: Nov. 6, 2014;       Accepted: Nov. 18, 2014;       Published: Dec. 23, 2014
DOI: 10.11648/j.ijmi.20140206.16      View  2223      Downloads  157
Abstract
Objectives: The aim of this work is to show the value of MRI and MRA in evaluation of patients suffering from wrist pain. Background: Wrist pain is a common clinical complaint. The most common causes of wrist pain are traumatic & non traumatic abnormalities involving avascular necrosis, ganglia, and TFC lesions. MRI serves as a problem solving technique to assess the cause of wrist pain. It also plays an important prognostic role. MRA is an excellent tool in assessing TFC and wrist ligaments injury. Methods: This study was conducted on 60 patients complaining of chronic wrist pain. The patients were referred to the radiology department from the outpatient clinics and the orthopedics department of Menoufia University Hospital. All patients were examined by x-ray and conventional MRI. 15 patients with suspected triangular fibrocartilage complex (TFC) and/or ligament injury underwent MRA as well. Data of soft tissue and osseous lesions were collected and analyzed. Results: There were thirty four males and twenty six females, their ages ranged between 17 & 59 years (mean age, 38 years). Joint effusion, kienbock disease and ganglion cysts were the most common findings in conventional MRI . TFC injury was the most common finding in MRA. Conclusion: MRI has a dramatic impact on the diagnosis and assessment of variety of wrist disorders. It is non invasive and ideal modality to demonstrate the complex anatomy and pathological conditions of the wrist. MRA is an excellent tool in assessing TFC and ligaments injury.
Keywords
MRI, MRA, Wrist Pain
To cite this article
Mohamed Basiouny Alghannam, Mohamed Ramadan El-Kholy, Ashraf Anas Zytoon, Ayman Mohamed Ebied, The Role of MRI and MR Arthrography in Evaluation of Wrist Pain, International Journal of Medical Imaging. Vol. 2, No. 6, 2014, pp. 149-155. doi: 10.11648/j.ijmi.20140206.16
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