Skip to main content

MRI of Normal Anatomy and Injuries of Extrinsic Ligaments

  • Chapter
  • First Online:
Carpal Ligament Surgery

Abstract

Carpal instability is usually the consequence of a fracture and/or of ligamentous injuries. Sometimes, instability does not evolve and hardly hampers the movements of the wrist or merely provokes a slight pain. But occasionally, on the contrary, instability can lead to functional disability and increasing pain and even result in osteoarthritis [1–3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Linscheid RL, Dobyns JH, Beabout JW et al (1972) Traumatic instability of the wrist: diagnosis, classification and pathomechanics. J Bone Joint Surg Am 54A:1612–1632

    Google Scholar 

  2. Trail IA, Stanley JK, Hayton MJ (2007) Twenty questions on carpal instability. J Hand Surg Eur Vol 32(3):240–255

    Article  PubMed  CAS  Google Scholar 

  3. Schmitt R, Frochner S, Coblenz G et al (2006) Carpal instability. Eur Radiol 16:2161–2178

    Article  PubMed  CAS  Google Scholar 

  4. Roulot E (2001) Arthroscopie du poignet. In: Godefroy D et al (eds) Intérêt diagnostique et thérapeutique dans Imagerie du poignet et de la main. Sauramps Médical, Paris

    Google Scholar 

  5. Dautel G, Et Blum A (2001) In: Godefroy D et al (eds) Place de l’arthroscanner et de l’arthroscopie dans le diagnostic des instabilités du poignet dans Imagerie du poignet et de la main. Sauramps Médical, Paris

    Google Scholar 

  6. Theumann NH, Etechami G, Duvoisin B (2006) Association between extrinsic and intrinsic carpal ligament injuries at MR arthrography and carpal instability at radiography: initial observations. Radiology 238:950–957

    Article  PubMed  Google Scholar 

  7. Shahabpour M, Van Overstraeten L, Ceuterick P, Milants A, Goubau J, Boulet C, De Mey J, Demaeseneer M (2012) Pathology of extrinsic ligaments: a pictorial essay. Semin Musculoskelet Radiol 16(2):115–128

    Article  PubMed  Google Scholar 

  8. Totterman SM, Miller R, Wasserman B, Blebea JS, Rubens DJ (1993) Intrinsic and extrinsic carpal ligaments: evaluation by three-dimensional Fourier transform MR imaging. AJR Am J Roentgenol 160:117–123

    Article  PubMed  CAS  Google Scholar 

  9. Brown RR, Fliszar E, Cotten A, Trudell D, Resnick D (1998) Extrinsic and intrinsic ligaments of the wrist: normal and pathologic anatomy at MR arthrography with three-compartments enhancement. Radiographics 18:667–674

    PubMed  CAS  Google Scholar 

  10. Viegas SF, Patterson RM, Hokanson JA, Davis J (1993) Wrist anatomy: incidence, distribution, and correlation of anatomic variations, tears, and arthrosis. J Hand Surg Am 18:463–475

    Article  PubMed  CAS  Google Scholar 

  11. Viegas SF, Patterson RM, Ward K (1995) Extrinsic wrist ligaments in the pathomechanics of ulnar translation instability. J Hand Surg Am 20A:312–318

    Article  Google Scholar 

  12. Feipel V, Rooze M (1999) The capsular ligaments of the wrist: morphology, morphometry and clinical applications. Surg Radiol Anat 21:175–180

    Article  PubMed  CAS  Google Scholar 

  13. Taleisnik J (1976) The ligaments of the wrist. J Hand Surg Am 1:110–118

    PubMed  CAS  Google Scholar 

  14. Berger RA, Landsmeer JM (1990) The palmar radiocarpal ligaments: a study of adult and fetal human wrist joints. J Hand Surg Am 15:847–854

    Article  PubMed  CAS  Google Scholar 

  15. Reicher M (1990) Normal wrist anatomy, biomechanics, basic imaging protocol, and normal multiplanar MRI of the wrist. In: Reicher MA (ed) MRI of the wrist and hand. Raven Press, New York, pp 17–48

    Google Scholar 

  16. Theumann NH, Pfirrmann CW, Antonio GE, Chung CB, Gilula LA, Trudell DJ (2003) Extrinsic carpal ligaments: normal MR arthrographic appearance in cadavers. Radiology 226:171–179

    Article  PubMed  Google Scholar 

  17. Smith DK (1993) Volar carpal ligaments of the wrist: normal appearance on multiplanar reconstructions of three-dimensional Fourier transform MR imaging. AJR Am J Roentgenol 161:353–357

    Article  PubMed  CAS  Google Scholar 

  18. Rominger MB, Bernreuter WK, Kenney PJ, Lee DH (1993) MR imaging of anatomy and tears of wrist ligaments. Radiographics 13:1233–1246

    PubMed  CAS  Google Scholar 

  19. Timins ME, Jabnke JP, Krah SF, Erickson SJ, Carrera GE (1995) MR imaging of the major carpal stabilizing ligaments: normal anatomy and clinical examples. Radiographics 15:575–587

    PubMed  CAS  Google Scholar 

  20. Boutry N, Lapegue F, Masi L et al (2005) Ultrasonographic evaluation of normal extrinsic and intrinsic carpal ligaments: preliminary experience. Skeletal Radiol 34:513–521

    Article  PubMed  Google Scholar 

  21. Berger RA, Kauer JM (1991) Radioscapholunate ligament: a gross anatomic and histologic study of fetal and adult wrists. J Hand Surg Am 16:350–355

    Article  PubMed  CAS  Google Scholar 

  22. Connell D, Page P, Wright W, Hoy G (2001) MRI of the wrist ligaments. Australas Radiol 45(4):411–422

    Article  PubMed  CAS  Google Scholar 

  23. Resnick D, Kang HS, Pretterklieber ML (2007) Wrist and hand in internal derangements of joints, vol 1, 2nd edn. Saunders, Philadelphia, pp 1218–1418

    Google Scholar 

  24. Chang W, Peduto AJ, Aguiar RO, Trudell DJ, Resnick DL (2007) Arcuate ligament of the wrist: normal MR appearance and its relationship to palmar midcarpal instability: a cadaveric study. Skeletal Radiol 36:641–645

    Article  PubMed  Google Scholar 

  25. Tanaka T, Ogino S, Yoshioka H (2008) Ligamentous injuries of the wrist. Semin Musculoskelet Radiol 12:359–378

    Article  PubMed  Google Scholar 

  26. Smith DK (1993) Dorsal carpal ligaments of the wrist: normal appearance on multiplanar reconstructions of three-dimensional Fourier transform MR imaging. AJR Am J Roentgenol 161:119–125

    Article  PubMed  CAS  Google Scholar 

  27. Mitsuyasu H, Patterson RM, Shah MA, Buford WL, Iwamoto Y, Viegas SF (2004) The role of the dorsal intercarpal ligament in dynamic and static scapholunate instability. J Hand Surg Am 29:279–288

    Article  PubMed  Google Scholar 

  28. Sarazin L, Godefroy D, Rousselin B, Drapé JL, Chevrot A (2005) Imagerie par résonance magnétique du poignet et de la main dans les situations normales. Atlas anatomique. Encycl Méd Chir. Elsevier SAS, Paris

    Google Scholar 

  29. Scheck RJ, Romagnolo A, Hierner R, Pfluger T, Wilhelm K, Hahn K (1999) The carpal ligaments in MR arthrography of the wrist: correlation with standard MRI and wrist arthroscopy. J Magn Reson Imaging 9:468–474

    Article  PubMed  CAS  Google Scholar 

  30. Maizlin ZV, Brown JA, Clement JJ, Grebenyuk J, Fenton DM, Smith DE, Jacobson JA (2008) MR arthrography of the wrist: controversies and concepts. Hand (N Y) 4(1):66–73

    Article  Google Scholar 

Download references

Acknowledgements

To Eddy Broodtaerts, Filip, Bart, Els and Yasmina for their precious collaboration in the elaboration of MR images.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Shahabpour .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag France

About this chapter

Cite this chapter

Shahabpour, M., Ceuterick, P., Allemon, B., Pouliart, N., Provyn, S., De Maeseneer, M. (2013). MRI of Normal Anatomy and Injuries of Extrinsic Ligaments. In: Camus, E., Van Overstraeten, L. (eds) Carpal Ligament Surgery. Springer, Paris. https://doi.org/10.1007/978-2-8178-0379-1_5

Download citation

  • DOI: https://doi.org/10.1007/978-2-8178-0379-1_5

  • Published:

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0378-4

  • Online ISBN: 978-2-8178-0379-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics