15M baseball player with 6 months Wrist pain after swinging bat, MRI, please help

Dr. Luis Cerezal responded:

I believe there is a tear of the volar capsular insertion of the TFCC and involvement of the deep anterior lamina of the volar distal radioulnar ligament, with distal radioulnar synovitis.
MR arthrography or CT arthrography would show it more clearly, but I think this study is diagnostic and of very good quality.

On Fri, Sep 26, 2025 at 2:50 PM hilary wrote:

There is both dorsal and volar ulnocarpal synovitis
There is marrow edema of the distal ulnar epiphysis and synovitis in the DRUJ
There is fraying and increased intrasubstance signal with ?? partial tear of the foveal lamina of the ulnar limb TFCC

I think the GRE suggests the dorsal foveal lamina is intact…not sure about the volar insertion

The articular disc looks thinned without focal tear

Do you agree?
Would you recommend DRUJ arthrography?
What are your thoughts?

Thank you.

Hilary