Friday, April 25, 2025

WHY DO MRI WRIST PATHOLOGY AND ANATOMY.

🧠 WHY MRI for Wrist?

1. Excellent Soft Tissue Contrast

  • MRI clearly differentiates muscles, tendons, ligaments, cartilage, nerves, and bone marrow—something other imaging modalities like X-ray or CT can’t do as well.

2. No Radiation

  • It uses magnetic fields, not ionizing radiation, so it's safer, especially for younger patients or repeat scans.

  • Wrist Anatomy in MRI

MRI is great at showing detailed structures like:

  • Bones: Distal radius, ulna, carpal bones (scaphoid, lunate, etc.)

  • Cartilage and Joint spaces

  • TFCC (Triangular Fibrocartilage Complex)

  • Ligaments: Scapholunate, lunotriquetral

  • Tendons: Extensor and flexor groups

  • Median nerve in carpal tunnel

🩺 Common Wrist Pathologies Detected by MRI

  1. Ligament Injuries

    • Scapholunate or lunotriquetral tears

    • TFCC injuries

  2. Tendon Problems

    • Tendinitis, tenosynovitis

    • Tendon tears or subluxation

  3. Fractures/Contusions

    • Occult fractures (e.g., scaphoid) not visible on X-ray

    • Bone marrow edema

  4. Carpal Tunnel Syndrome

    • Swelling or compression of the median nerve

  5. Ganglion Cysts / Masses

    • Soft tissue lesions well seen on MRI

  6. Arthritis

    • Inflammatory or degenerative joint disease

  7. Kienböck’s Disease

    • Avascular necrosis of the lunate bone

✨ In Summary:

MRI is preferred because it’s non-invasive, highly detailed, and helps pinpoint the exact structure and type of pathology in complex wrist complaints like pain, instability, or trauma.

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