Postoperative Imaging of Ulnar Wrist Pain
Semin Musculoskelet Radiol 2021; 25: 329-345 DOI: 10.1055/s-0041-1731331Ulnar wrist pain, caused by a broad spectrum of bone and soft tissue injuries, is the most common clinical condition of the wrist. Multiple surgical techniques and their variants in the treatment of these injuries are constantly evolving. Postoperative evaluation of the wrist for many surgeons is limited to serial clinical and radiographic monitoring. However, imaging methods such as ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and arthrographic techniques (arthrographic CT and arthrographic MRI) play a fundamental role ...
Source: Seminars in Musculoskeletal Radiology - August 9, 2021 Category: Radiology Authors: Cerezal, Luis Llopis, Eva Canga, Ana Pi ñal, Francisco Del Tags: Review Article Source Type: research

Extrinsic and Intrinsic Ligaments of the Wrist
Semin Musculoskelet Radiol 2021; 25: 311-328 DOI: 10.1055/s-0041-1731653Carpal stability depends on the integrity of both intra-articular and intracapsular carpal ligaments. In this review, the role of the radial-sided and ulnar-sided extrinsic and intrinsic ligaments is described, as well as their advanced imaging using magnetic resonance arthrography (MRA) and contrast-enhanced magnetic resonance imaging (MRI) with three-dimensional (3D) scapholunate complex sequences and thin slices. In the last decade, the new concept of a so-called “scapholunate complex” has emerged among hand surgeons, just as the triangular liga...
Source: Seminars in Musculoskeletal Radiology - August 9, 2021 Category: Radiology Authors: Shahabpour, Maryam Abid, Wiem Van Overstraeten, Luc Van Royen, Kjell De Maeseneer, Michel Tags: Review Article Source Type: research

Carpal Instability: II. Imaging
Semin Musculoskelet Radiol 2021; 25: 304-310 DOI: 10.1055/s-0041-1730398Beyond clinical examination, the various forms of carpal instability are assessed with radiologic methods and arthroscopy. For this purpose, the imaging demand for spatial and contrast resolution is particularly high because of the small ligamentous structures involved. The entities of carpal instability are classified into degrees of severity. Early (dynamic) forms of instability can either be indirectly detected with X-ray stress views and cineradiography or by direct visualization of ruptured ligaments in high-resolution magnetic resonance (MR) imag...
Source: Seminars in Musculoskeletal Radiology - August 9, 2021 Category: Radiology Authors: Hesse, Nina Schmitt, Rainer Luitjens, Johanna Grunz, Jan-Peter Haas-L ützenberger, Elisabeth Maria Tags: Review Article Source Type: research

Osteoarthritis of the Wrist: Pathology, Radiology, and Treatment
Semin Musculoskelet Radiol 2021; 25: 294-303 DOI: 10.1055/s-0041-1730948Osteoarthritis (OA) is a degenerative disease that can manifest in any synovial joint under certain conditions. It leads to destruction of articular cartilage and adjacent bone, as well as formation of osteophytes at the edges of afflicted joint surfaces. Regarding the wrist, typical degenerative arthritis affects particular joints at a specific patient age, due to asymmetric load distribution and repetitive microtrauma. However, in the presence of instability or systemic diseases, early-onset degeneration can also impair the range of motion and grip s...
Source: Seminars in Musculoskeletal Radiology - August 9, 2021 Category: Radiology Authors: Grunz, Jan-Peter Gietzen, Carsten Herbert Christopoulos, Georgios van Schoonhoven, J örg Goehtz, Florian Schmitt, Rainer Hesse, Nina Tags: Review Article Source Type: research

Acute Bony Injuries of Hand and Wrist
Semin Musculoskelet Radiol 2021; 25: 277-293 DOI: 10.1055/s-0041-1729151Acute bony injuries to the hand and wrist are very common after a fall on an outstretched hand. In the wrist, distal radius fractures are the most common; isolated distal ulna fractures are uncommon. More serious injuries to the wrist include complicated fracture-dislocation injuries such as perilunate dislocations. At the carpal level, scaphoid fractures are the most common followed by fractures of the dorsal side of the triquetrum. The metacarpals often fracture, most commonly the base of the thumb and the subcapital region of the fifth metacarpal. I...
Source: Seminars in Musculoskeletal Radiology - August 9, 2021 Category: Radiology Authors: De Jonge, Milko C. Assink, Joeri Vanhoenacker, Filip M. Tags: Review Article Source Type: research

History Page: Leaders in MSK Radiology
Semin Musculoskelet Radiol 2021; 25: 274-276 DOI: 10.1055/s-0041-1727094Robert Kienböck (1871–1953) may be regarded as one of the first musculoskeletal radiologists who began his clinical and scientific work 2 years after the discovery of X-rays. He lent his name to Kienböck's disease, a traumatic malacia and osteonecrosis of the lunate, and to several other eponyms of diseases, devices, and parameters in radiology and radiation oncology. With his meticulous analysis of radiographic images of the highest quality, he anticipated many theories that were proposed in later decades. [...] Thieme Medical Publishers, Inc. 333...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Kainberger, Franz Hahn, Daniela Tags: History Pages Source Type: research

History Page: Leaders in MSK Radiology, Maria Curie-Sk łodowska (1867–1934)
Semin Musculoskelet Radiol 2021; 25: 272-273 DOI: 10.1055/s-0041-1727096This history page in the series “Leaders in MSK radiology” is dedicated to the memory and achievements of the Polish researcher born in Warsaw and graduate of Sorbonne University, Maria Curie-Skłodowska, two-time Nobel Prize winner and the most well-known female scientist in the world, recognized as the pioneer of radiology. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Sudo ł-Szopińska, Iwona Panas-Goworska, Marta Tags: History Pages Source Type: research

Congenital and Developmental Abnormalities of the Hand and Wrist
Semin Musculoskelet Radiol 2021; 25: 260-271 DOI: 10.1055/s-0040-1722613Identification of congenital skeletal abnormalities is complex because of the large variety of individual syndromes and dysplasias that are often difficult to remember. Although a correct diagnosis relies on a combination of clinical, radiologic, and genetic tests, imaging plays an important role in selecting those patients who should be referred for further genetic counseling and expensive genetic tests. In addition to information derived from radiologic analysis of other skeletal elements, radiographs of the hand and wrist may provide particular usef...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Vanhoenacker, Filip M. Simoni, Paolo Bosmans, Frederik Boutry, Nathalie Tags: Review Article Source Type: research

Radiologic Imaging of Metabolic and Endocrine Disorders as They Affect the Hand and Wrist
Semin Musculoskelet Radiol 2021; 25: 246-259 DOI: 10.1055/s-0041-1727192Metabolic and endocrine disorders have systemic effects on the musculoskeletal system, frequently producing characteristic changes in the hand and wrist. Radiographs historically played an instrumental role in the diagnostic pathway of many of these disorders, but the myriad of endocrinologic tests readily available to current clinicians may suggest their importance has lessened. We disagree. Recognition of these often subtle features can avoid the expense and psychological impact of an inappropriate diagnostic work-up, as well as expediting the diagno...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Scullion, Stephen Grainger, Andrew J. Greenspan, Adam Tags: Review Article Source Type: research

Rheumatoid Hand and Other Hand-deforming Rheumatic Conditions
This article discusses typical imaging features of the hand and wrist in rheumatologic conditions including the advantages and limitations of the various methods. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Sudo ł-Szopińska, Iwona Teh, James Cotten, Anne Tags: Review Article Source Type: research

Hand Masses
Semin Musculoskelet Radiol 2021; 25: 216-231 DOI: 10.1055/s-0041-1724017Hand and wrist soft tissue masses may be classified as pseudotumors, benign neoplasms, or malignant neoplasms. The vast majority of hand lesions are benign. Consideration of the location of the lesion and its imaging characteristics often leads to a specific diagnosis. Pseudotumors discussed in this article are ganglion cysts, accessory muscles, and inflammatory lesions. True tumors are described according to their tissue type: nerve sheath tumors, adipocytic tumors, so-called fibrohistiocytic tumors, pericytic tumors, and vascular lesions. We also out...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Teh, James Shahabpour, Maryam Drape, Jean-Luc Feydy, Antoine Sudo ł-Szopińska, Iwona Vanhoenacker, Filip M. Tags: Review Article Source Type: research

Pulley, Flexor, and Extensor Tendon Injuries of the Hand
Semin Musculoskelet Radiol 2021; 25: 203-215 DOI: 10.1055/s-0041-1727196Tendon injuries represent the second most common injury of the hand (after fractures) and are a common scanning indication in radiology. Pulley injuries are very frequent in rock climbers with the A2 pulley the most commonly affected. Tendon and pulley injuries can be reliably evaluated using ultrasound (US) and magnetic resonance imaging (MRI). US can be postulated as a first-line imaging modality, allowing dynamic examination. MRI is essential for cases with ongoing diagnostic doubt post-US and also for preoperative pulley reconstruction assessment. ...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Rosskopf, Andrea B. Taljanovic, Mihra S. Sconfienza, Luca M. Gitto, Salvatore Martinoli, Carlo Picasso, Riccardo Klauser, Andrea Tags: Review Article Source Type: research

Carpal Instability: I. Pathoanatomy
Semin Musculoskelet Radiol 2021; 25: 191-202 DOI: 10.1055/s-0041-1728711The pathoanatomy of carpal instability is multifactorial and usually complex. A thorough medical history and clinical examination are essential, as well as profound knowledge of the specific instability patterns. The stability of the wrist is ensured by the carpal joint surfaces, by intact intra-articular (particularly the scapholunate interosseous ligament) and intracapsular ligaments, and by crossing extensor and flexor tendons, the latter making the proximal carpal row an “intercalated segment.” An important classification feature is the distinc...
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Schmitt, Rainer Hesse, Nina Goehtz, Florian Prommersberger, Karl-Josef de Jonge, Milko Grunz, Jan-Peter Tags: Review Article Source Type: research

Update on Hand and Wrist Imaging
Semin Musculoskelet Radiol 2021; 25: 189-190 DOI: 10.1055/s-0041-1729896 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Authors: Sudo ł-Szopińska, Iwona Shahabpour, Maryam Tags: Preface Source Type: research

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Seminars in Musculoskeletal Radiology 2021; S 01 Article in Thieme eJournals: Table of contents  |  Congress (Source: Seminars in Musculoskeletal Radiology)
Source: Seminars in Musculoskeletal Radiology - June 3, 2021 Category: Radiology Source Type: research