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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
Wrist, short axis view, intrinsic ligaments.
0:06
You saw those in detail in the coronal projection,
0:09
but they're not to be ignored in this projection.
0:12
Let's begin with the scapholunate interval and ligament.
0:15
6 00:00:19,149 --> 00:00:20,799 The first thing I do is not look at the
0:20
ligament, I look at what's in between.
0:23
In other words, what's the status of the
0:26
bone and cartilage? Are they clean, pure,
0:31
non-eroded, non-inflamed, no capsular
0:33
thickening, no effusion, no synovitis?
0:37
For if all those things are true, the odds of the
0:39
ligament being deficient or torn are very low.
0:42
So I use indirect signs.
0:46
But I do see the ligament.
0:48
The ligament consists of a dorsal
0:50
component, which is the thickest.
0:53
A membranous component, which is the
0:56
thinnest and sometimes perforated.
0:59
Fenestrated or asymptomatically torn, and
1:04
then the volar or palmar component, which
1:07
is smaller than the dorsal component.
1:10
Not to be confused with this structure
1:13
right here, which is an extrinsic.
1:17
I also look at this distance to make sure
1:20
that it's consistent from palmar to dorsal.
1:24
Then I go over to the more difficult
1:28
to see lunotriquetral ligament.
1:30
It has a dorsal and a palmar component.
1:33
Let's scroll.
1:34
There's a dorsal component.
1:36
Palmar component, a little tough to see.
1:38
Let's scroll a little more distally.
1:40
There's the dorsal component.
1:41
There's the palmar component.
1:43
There's some controversy about which one is
1:46
stronger and which one is a greater stabilizer.
1:51
However, many people believe that the dorsal
1:54
portion of the ligament, regardless of
1:56
its size, is the more important stabilizer.
2:00
Don't confuse the dorsal or palmar
2:04
intrinsic with the adjacent extrinsics.
2:08
I do the same thing here.
2:09
I look at the interval for smoothness,
2:12
consistency, lack of erosions, lack of
2:15
synovitis, lack of effusion, lack of capsulitis.
2:19
I'm good.
2:20
The intrinsic ligaments in the short axis are ejection.
Axial Anatomy: Intrinsic Ligaments
HIDEInteractive Transcript
0:00
Wrist, short axis view, intrinsic ligaments.
0:06
You saw those in detail in the coronal projection,
0:09
but they're not to be ignored in this projection.
0:12
Let's begin with the scapholunate interval and ligament.
0:15
6 00:00:19,149 --> 00:00:20,799 The first thing I do is not look at the
0:20
ligament, I look at what's in between.
0:23
In other words, what's the status of the
0:26
bone and cartilage? Are they clean, pure,
0:31
non-eroded, non-inflamed, no capsular
0:33
thickening, no effusion, no synovitis?
0:37
For if all those things are true, the odds of the
0:39
ligament being deficient or torn are very low.
0:42
So I use indirect signs.
0:46
But I do see the ligament.
0:48
The ligament consists of a dorsal
0:50
component, which is the thickest.
0:53
A membranous component, which is the
0:56
thinnest and sometimes perforated.
0:59
Fenestrated or asymptomatically torn, and
1:04
then the volar or palmar component, which
1:07
is smaller than the dorsal component.
1:10
Not to be confused with this structure
1:13
right here, which is an extrinsic.
1:17
I also look at this distance to make sure
1:20
that it's consistent from palmar to dorsal.
1:24
Then I go over to the more difficult
1:28
to see lunotriquetral ligament.
1:30
It has a dorsal and a palmar component.
1:33
Let's scroll.
1:34
There's a dorsal component.
1:36
Palmar component, a little tough to see.
1:38
Let's scroll a little more distally.
1:40
There's the dorsal component.
1:41
There's the palmar component.
1:43
There's some controversy about which one is
1:46
stronger and which one is a greater stabilizer.
1:51
However, many people believe that the dorsal
1:54
portion of the ligament, regardless of
1:56
its size, is the more important stabilizer.
2:00
Don't confuse the dorsal or palmar
2:04
intrinsic with the adjacent extrinsics.
2:08
I do the same thing here.
2:09
I look at the interval for smoothness,
2:12
consistency, lack of erosions, lack of
2:15
synovitis, lack of effusion, lack of capsulitis.
2:19
I'm good.
2:20
The intrinsic ligaments in the short axis are ejection.
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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