Abstract
The main emphasis of this chapter is a description of basic radiography of the wrist and hand with detailed description of radiographic technique and evaluation of the different projections. Static and dynamic carpal instability evaluation is vital for the assessment of ligamentous disruption. These techniques are covered in this chapter. There are a whole variety of measurement techniques which can be used in the assessment of wrist pathology. Following distal radial fracture, radial inclination, radial length and palmar tilt are important. Ulna variance is also assessed following distal radial fracture and in the context of ulnar-sided wrist pain. The scapholunate angle and capitate lunate angle are assessed when intercalated instability is suspected. Finally, the carpal height is a measurement which is applied when there is evidence of carpal collapse or loss of joint space. Arthrography still has a place in the modern assessment of the wrist. Radiocarpal and to a lesser extent midcarpal injection techniques may be employed.
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References
Braunstein EM, Louis DS (1985) Fluoroscopic and arthrographic evaluation of carpal instability. AJR Am J Roentgenol 144(6):1259–1262
De Smet AA, Martin NL (1981) Radiographic projections for the diagnosis of arthritis of the hands and wrists. Radiology 139(3):577–581
Edwards JC, Edwards SE (1983) The value of radiography in the management of rheumatoid arthritis. Clin Radiol 34(4):413–416
Fisher MR, Rogers LF (1983) Systematic approach to identifying fourth and fifth carpometacarpal joint dislocations. AJR Am J Roentgenol 140(2):319–324
Fransson SG (1993) Wrist arthrography. Acta Radiol 34(2):111–116
Gilula LA (1979) Carpal injuries: analytic approach and case exercises. AJR Am J Roentgenol 133(3):503–517
Gilula LA, Totty WG (1983) Wrist arthrography. The value of fluoroscopic spot viewing. Radiology 146(2):555–556
Gilula LA, Destouet JM et al (1984) Roentgenographic diagnosis of the painful wrist. Clin Orthop Relat Res 187:52–64
Goldfarb CA, Yin Y (2001) Wrist fractures: what the clinician wants to know. Radiology 219(1):11–28
Levinsohn EM, Palmer AK (1987) Wrist arthrography: the value of the three compartment injection technique. Skeletal Radiol 16(7):539–544
Levinsohn EM, Rosen ID (1991) Wrist arthrography: value of the three-compartment injection method. Radiology 179(1):231–239
Linkous MD, Pierce SD (2000) Scapholunate ligamentous communicating defects in symptomatic and asymptomatic wrists: characteristics 1. Radiology 216(3):846–850
Loredo RA, Sorge DG (2005) Radiographic evaluation of the wrist: a vanishing art. Semin Roentgenol 40(3):248–289
Magee T (2009) Comparison of 3-T MRI and arthroscopy of intrinsic wrist ligament and TFCC tears. AJR Am J Roentgenol 192(1):80–85
Mann FA, Wilson AJ (1992) Radiographic evaluation of the wrist: what does the hand surgeon want to know? Radiology 184(1):15–24
Quinn SF, Pittman CC (1988) Digital subtraction wrist arthrography: evaluation of the multiple-compartment technique. AJR Am J Roentgenol 151(6):1173–1174
Resnick D (ed) (1995) Diagnosis of bone and joint disorders. W.B. Saunders, Philadelphia
Resnik CS (2000) Wrist and hand injuries. Semin Musculoskelet Radiol 4(2):193–204
Rosner JL, Zlatkin MB (2004) Imaging of athletic wrist and hand injuries. Semin Musculoskelet Radiol 8(1):57–79
Saupe N (2009) 3-Tesla high-resolution MR imaging of the wrist. Semin Musculoskelet Radiol 13(1):29–38
Schernberg F (1990) Roentgenographic examination of the wrist: a systematic study of the normal, lax and injured wrist. Part 1: the standard and positional views. J Hand Surg Br 15(2):210–219
Schmitt R, Froehner S (2006) Carpal instability. Eur Radiol 16(10):2161–2178
Sofka CM, Pavlov H (2009) The history of clinical musculoskeletal radiology. Radiol Clin North Am 47(3):349–356
Steinbach LS, Palmer WE (2002) Special focus session. Radiographics 22(5):1223–1246
Timins ME, Jahnke JP (1995) MR imaging of the major carpal stabilizing ligaments: normal anatomy and clinical examples. Radiographics 15(3):575–587
Tirman RM, Weber ER (1985) Midcarpal wrist arthrography for detection of tears of the scapholunate and lunotriquetral ligaments. AJR Am J Roentgenol 144(1):107–108
Whitley AS (2005) Clark’s positioning in radiography. Hodder Arnold, London
Wilson AJ, Gilula LA (1991) Unidirectional joint communications in wrist arthrography: an evaluation of 250 cases. AJR Am J Roentgenol 157(1):105–109
Yang Z, Mann FA (1997) Scaphopisocapitate alignment: criterion to establish a neutral lateral view of the wrist. Radiology 205(3):865–869
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Davies, S.G. (2013). Radiography and Arthrography. In: Davies, A., Grainger, A., James, S. (eds) Imaging of the Hand and Wrist. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2010_136
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DOI: https://doi.org/10.1007/174_2010_136
Publisher Name: Springer, Berlin, Heidelberg
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