RESUMO
Eighty-nine MR examinations of the wrist were retrospectively analyzed. MRI results were compared with clinical findings and/or arthroscopy. Thin proton density and T2 weighted sequences and 3D DESS weighted sequences were applied on a 1.5T scanner. On the palmar side three radiocarpal ligaments are recognized including the radioscaphocapitate, radiolunotriquetral, radioscapholunate, and midcarpal triquetroscaphoidal ligaments. Ulnocarpal ligaments include the ulnolunate ligament and the ulnotriquetral ligament. On the dorsal side three ligaments are recognized: the dorsal radiolunotriquetral, and the midcarpal triquetroscaphoidal and triquetro-trapezoido-trapezial. The collateral ligaments include the radial and ulnar collateral ligament. MR is a valuable technique in the assessment of the extrinsic and midcarpal ligaments. Depiction of the extrinsic ligaments can best be accomplished with coronal 3D DESS sequences and sagittal and transverse proton density and T2 weighted sequences with thin slices.
Assuntos
Ligamentos/anatomia & histologia , Articulação do Punho/anatomia & histologia , Punho/anatomia & histologia , Artroscopia , Humanos , Ligamentos/cirurgia , Prótons , Valores de Referência , Estatística como Assunto , Punho/cirurgia , Articulação do Punho/cirurgiaAssuntos
Diagnóstico por Imagem , Mãos , Adolescente , Adulto , Determinação da Idade pelo Esqueleto , Idoso , Idoso de 80 Anos ou mais , Doenças Ósseas/diagnóstico , Criança , Meios de Contraste , Diagnóstico Diferencial , Feminino , Deformidades da Mão/diagnóstico , Traumatismos da Mão/diagnóstico , Humanos , Artropatias/diagnóstico , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-IdadeRESUMO
Fingertip amputations treated with conventional flaps gave consistently good coverage, but the recovery of sensibility was superior in advancement flaps. Residual pain, however, was less frequent in distal flaps. Work incapacity averaged between 6 and 8 weeks.
