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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Wrist MRI Mastery Series: Pre-Course Activities
1 topic, 4 min.
Lesson
Wrist MRI Mastery Series: Introduction to Wrist Imaging
1 topic,
Lesson
Wrist MRI Mastery Series: Imaging Techniques & Protocols
7 topics, 30 min.
Lesson
Wrist MRI Mastery Series: Anatomy
37 topics, 1 hr. 24 min.
Coronal Anatomy: Bony Anatomy
3 m.Coronal Anatomy: Hyaline Cartilage
3 m.Coronal Anatomy: Variance
4 m.Coronal Anatomy: Triangular Fibrocartilage
5 m.Coronal Anatomy: Peripheral TFCC Relationships
5 m.Coronal Anatomy: Intrinsic Ligaments Part 1
3 m.Coronal Anatomy: Intrinsic Ligaments Part 2
4 m.Coronal Anatomy: Extrinsic Ligaments Part 1
1 m.Coronal Anatomy: Extrinsic Ligaments Part 2
1 m.Coronal Anatomy: Extrinsic Ligaments Part 3
2 m.Coronal Anatomy: Extrinsic Ligaments Part 4
1 m.Coronal Anatomy: Extrinsic Ligaments Part 5
2 m.Coronal Anatomy: Extrinsic Ligaments Part 6
2 m.Diagramatic Anatomy: Extrinsic Ligaments Part 7
2 m.MRI Correlation: Extrinsic Ligaments Part 8
2 m.Coronal Anatomy: Extrinsic Ligaments Part 9
2 m.Coronal Anatomy: Extrinsic Ligaments Part 10
2 m.Coronal Anatomy: Extrinsic Ligaments Part 11
2 m.Coronal Anatomy: Extrinsic Ligaments Part 12
2 m.Extrinsic Ligaments: Thumb Part 1
1 m.Extrinsic Ligaments: Thumb Part 2
1 m.Extrinsic Ligaments: Thumb Part 3
2 m.Axial Anatomy: Radioulnar Joint
4 m.Proximal Anatomy: Nerves, Tendons & Vessels
4 m.Axial Anatomy: Extensor Tendons
4 m.Axial Anatomy: Extensor Tendons on MRI
3 m.Axial Anatomy: The Carpal Tunnel
5 m.Axial Anatomy: Guyon’s Canal
4 m.Axial Anatomy: Intrinsic Ligaments
3 m.Axial Anatomy: Extrinsic Ligaments
2 m.Axial Anatomy: Collateral Ligaments
3 m.Axial Anatomy: Extrinsic Ligaments Part 2
2 m.Sagittal Anatomy Part 1
2 m.Sagittal Anatomy Part 2
2 m.Sagittal Anatomy Part3
3 m.Sagittal Anatomy Part 4
4 m.Sagittal Anatomy Part 5
4 m.Lesson
Wrist MRI Mastery Series: Anatomy - Focus on the TFC
9 topics, 26 min.
Triangular Fibrocartilage: The Importance of the TFC
2 m.Triangular Fibrocartilage: Cartilage Anatomy
3 m.Triangular Fibrocartilage: Bony Architecture
6 m.Triangular Fibrocartilage: Anatomic Boundaries
7 m.Triangular Fibrocartilage: Micrograph View
3 m.Triangular Fibrocartilage: Magnified MRI
3 m.Triangular Fibrocartilage: Zooming Out on MRI
2 m.Triangular Fibrocartilage: Capsulo-synovial Reflections
3 m.Triangular Fibrocartilage: Focus on the Ulnar Styloid
3 m.Lesson
Wrist MRI Mastery Series: Case Review
19 topics, 1 hr. 32 min.
Case Review: Focus On Instability Part 1
3 m.Case Review: Focus On Instability Part 2
4 m.Case Review: Focus On Instability Part 3
4 m.Case Review: Focus on Instability
5 m.Case Review: 21 Year Old Male, Jammed Wrist and Now Has Pain
7 m.Case Review: Staging SLAC Wrist
5 m.Case Review: 52 Year Old Male with Medial Wrist Pain
9 m.Case Review: 15 Year Old Gymnast with Wrist Pain
8 m.Case Review: 14 Year Old Male Who Fell On Outstretched Hand
7 m.Case Review: 15 Year Old Female with Ulnar Sided Pain
8 m.Case Review: 42 Year Old Woman with Ulnar Sided Pain
6 m.Case Review: Additional Findings Discussion From Previous Case
7 m.Case Review: 42 Year Old Female – Assessing Variance
8 m.Case Review: 56 Year Old Male – Wrist Instability Overview
3 m.Case Review: 56 Year Old Male – Classifying Carpal Instability
4 m.Case Review: 56 Year Old Male – Classifying Carpal Instability Part 2
4 m.Case Review: 56 Year Old Male – Classifying Instability in the Short Axis
4 m.Case Review: 56 Year Old Male – Classifying Instability in the Sagittal Plane
4 m.Case Review: 56 Year Old Male – Classifying Instability – Dislocations
4 m.Lesson
Wrist MRI Mastery Series: Surgical Perspective - Case Review
11 topics, 1 hr. 4 min.
Scapholunate Injury from FOOSH
4 m.Differentiating Between Type 1 & 2 Lunates
2 m.Necrosis of the Lunate
8 m.Non-Stener UCL Injury
6 m.Professional Athlete with Hyperextension Injury
9 m.High Grade Stener Lesion
7 m.Microtrabecular Fracture of the Scaphoid
9 m.High Grade Waist Fracture of the Scaphoid
7 m.Radial Pulley Injury
6 m.Degenerated TFC
8 m.Peripheral TFC Injury with Styloid Remodeling
5 m.0:00
Let's zoom in on the capsulosynovial
0:03
reflections of the distal radioulnar
0:05
joint and the immediate adjacent ulna.
0:10
Our triangular fibrocartilage attaches
0:13
to the hyaline cartilage of the radius.
0:19
Now let's make the hyaline cartilage
0:21
perhaps a little different color.
0:22
Let's draw over it in orange.
0:26
And you can see the hyaline cartilage continuing down
0:28
into the distal radioulnar joint on the radial side.
0:32
Yes, there is also hyaline cartilage
0:36
on the ulnar side.
0:39
And between them, if you can imagine
0:42
it right there, is a thin slit.
0:46
That thin slit is the joint.
0:50
The fuzzy tissue on either side of the thin slit is
0:54
synovium, normal synovium, sitting atop of the capsule.
1:00
Now let's roll our eye over to this area,
1:03
which is off the source of confusion.
1:08
Here we have the hyaline cartilage of the
1:11
ulna, which we've already colored in green.
1:13
Let's continue it on.
1:14
Hyaline cartilage in green.
1:17
And it gets a little thicker right there, doesn't it?
1:20
There's our triangular fibrocartilage,
1:22
not our hyaline cartilage.
1:24
And now we have another layer right there.
1:26
This thin, slit, dark layer is the
1:29
collapsed, non-distended capsule.
1:32
The fuzzy tissue.
1:34
And I'm gonna make the fuzzy
1:36
tissue, let's call it brown.
1:38
This little fuzzy tissue right here.
1:40
Those are little synovial fronds
1:43
associated with the capsule.
1:45
So we've got some hyaline cartilage, we've got the
1:48
capsule in the synovium, we've got the triangular fibro-
1:52
cartilage, we haven't colored it, but we've got the
1:55
hyaline cartilage of the lunate, we've got the hyaline
1:59
cartilage of the radius, we've got the collapsed
2:02
capsule surrounded by fuzzy synovial tissue reflection,
2:08
which is slightly white or brighter on both sides of
2:12
this thin, dark slit running from distal to proximal.
2:17
And then the hyaline cartilage of the
2:19
ulna, which we can see contributes and
2:22
continues over the top of the ulnar body.
Triangular Fibrocartilage: Capsulo-synovial Reflections
HIDEInteractive Transcript
0:00
Let's zoom in on the capsulosynovial
0:03
reflections of the distal radioulnar
0:05
joint and the immediate adjacent ulna.
0:10
Our triangular fibrocartilage attaches
0:13
to the hyaline cartilage of the radius.
0:19
Now let's make the hyaline cartilage
0:21
perhaps a little different color.
0:22
Let's draw over it in orange.
0:26
And you can see the hyaline cartilage continuing down
0:28
into the distal radioulnar joint on the radial side.
0:32
Yes, there is also hyaline cartilage
0:36
on the ulnar side.
0:39
And between them, if you can imagine
0:42
it right there, is a thin slit.
0:46
That thin slit is the joint.
0:50
The fuzzy tissue on either side of the thin slit is
0:54
synovium, normal synovium, sitting atop of the capsule.
1:00
Now let's roll our eye over to this area,
1:03
which is off the source of confusion.
1:08
Here we have the hyaline cartilage of the
1:11
ulna, which we've already colored in green.
1:13
Let's continue it on.
1:14
Hyaline cartilage in green.
1:17
And it gets a little thicker right there, doesn't it?
1:20
There's our triangular fibrocartilage,
1:22
not our hyaline cartilage.
1:24
And now we have another layer right there.
1:26
This thin, slit, dark layer is the
1:29
collapsed, non-distended capsule.
1:32
The fuzzy tissue.
1:34
And I'm gonna make the fuzzy
1:36
tissue, let's call it brown.
1:38
This little fuzzy tissue right here.
1:40
Those are little synovial fronds
1:43
associated with the capsule.
1:45
So we've got some hyaline cartilage, we've got the
1:48
capsule in the synovium, we've got the triangular fibro-
1:52
cartilage, we haven't colored it, but we've got the
1:55
hyaline cartilage of the lunate, we've got the hyaline
1:59
cartilage of the radius, we've got the collapsed
2:02
capsule surrounded by fuzzy synovial tissue reflection,
2:08
which is slightly white or brighter on both sides of
2:12
this thin, dark slit running from distal to proximal.
2:17
And then the hyaline cartilage of the
2:19
ulna, which we can see contributes and
2:22
continues over the top of the ulnar body.
Report
Faculty
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Tags
Musculoskeletal (MSK)
MRI
Idiopathic
Hand & Wrist
Congenital
Acquired/Developmental
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