Hi there,
M34, reports sudden pain 3 months ago tightening some large screws, imaged
for persistent pain.
The ulnar attachments of the radioulnar ligaments look edematous to me.
There are some edematous and cystic changes also at the ulnar TFCC
attachment.
There’s no frank ligament or TFCC rupture. Centrally thin TFCC probably
unrelated to his trauma. Also no ECU retinaculum lesion, as far as I can
see.
I’m attaching coronal and transversal fatsat scans (PPT). What is your
impression?
Thanks, and have a great day!
Andrei
M34-wrist-MRI-supination-stress.pptx 
TFCC- partial tear of styloid attachment towards dorsal aspect with edema
Ulnotriq lig- low grade partial tear
ECU- mildly subluxed and small low-grade split with mild TS
Pre-styloid recess capsular rupture with edema
Median nerve – bifid
Ulnar nerve- ok
UL lig- ok
SL and LT- ok
Images attached
Still -all non-surgical case!
Happy Turkey day!!
Avneesh Chhabra, M.D. M.B.A.
Professor Radiology & Orthopedic Surgery
Chief, Division of Musculoskeletal Radiology
UT Southwestern Medical Center, Dallas, Tx
5373 Harry Hines Blvd.
Dallas, Tx-75390-9178
Office: 214-648-2122
avneesh.chhabra@utsouthwestern.edu<mailto:avneesh.chhabra@utsouthwestern.edu>
http://www.utsouthwestern.edu<http://www.utsouthwestern.edu/>
________________________________
Sent: Wednesday, November 24, 2021 9:29 AM
EXTERNAL MAIL
Hi there,
M34, reports sudden pain 3 months ago tightening some large screws, imaged for persistent pain.
The ulnar attachments of the radioulnar ligaments look edematous to me. There are some edematous and cystic changes also at the ulnar TFCC attachment.
There’s no frank ligament or TFCC rupture. Centrally thin TFCC probably unrelated to his trauma. Also no ECU retinaculum lesion, as far as I can see.
I’m attaching coronal and transversal fatsat scans (PPT). What is your impression?
Thanks, and have a great day!
Andrei