Elbow, Hand, and Wrist

Part of the Learning Imaging book series (LEARN)


A 34-year-old male manual worker presented with chronic wrist pain that had increased over the last 6 months. He had a history of a fall on an outstretched hand more than 10 years ago. An MRI performed without prior radiographic study showed a complete rupture of the scapholunate interosseous ligament, the dorsal intercalated segment instability (DISI) pattern of wrist instability, extensive radioscaphoid chondral denudation, and marked bone remodeling of the distal radius. Additionally, a type 2 lunate of Viegas (presence of a facet joint between the hamate and lunate), with advanced chondromalacia in the proximal pole of the hamate bone, and a small central rupture of the triangular fibrocartilage (Palmer class 1A lesion) were observed. Scaphoid resection and carpal arthrodesis resulted in complete pain relief and good functional result.


Radial Head Glomus Tumor Scaphoid Fracture Proximal Pole Distal Biceps Tendon 
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Further Reading


  1. Atlas de disección anatomoquirúrgica del codo. Llusa M, Forcada P, Ballesteros JR, Carrera A (2009). Elsevier, AmsterdamGoogle Scholar
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  5. Muñeca-Mano Diagnóstico por la imagen. Enfasis en la RM. Recondo JA (2007). Osatek. Vitoria.Google Scholar


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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  1. 1.Department of RadiologyVirgen de la Arrixaca University HospitalEl PalmarSpain
  2. 2.Department of RadiologyMarqués de Valdecilla University Hospital Radiologic AnatomySantanderSpain
  3. 3.Diagnóstico Médico Cantabria (DMC)SantanderSpain

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