Wrist pain following injury, multiple prior surgical interventions Despite multiple attempts at metal reduction, evaluation of the wrist, including the triangular fibrocartilage complex, is extremely limited due to susceptibility artifact from an orthopedic screw affixing the scaphoid and lunate. There are new surgical changes relating to prior TFCC repair with the small areas of signal void within the soft tissues overlying the ulna. Additionally, there are small foci of low T1 signal seen between the triquetrum and ulnar styloid which are thought to represent areas of suture material. The triangular fibrocartilage complex is not well visualized on the fluid sensitive sequences on account of the aforementioned metallic susceptibility artifact. There is low T1 signal intensity within the region of the TFCC thought to represent the area of repair. Within this structure are areas of ill-defined signal abnormality (best appreciated on series 9 images 10 and 11 and series 3 images 7 and 8) suspicious for areas of tearing. Evaluation of the intrinsic ligaments is limited due to metallic susceptibility artifact. A mild amount of increased marrow signal is seen along the ulnar styloid which may be reactive in nature.The median nerve is normal in caliber.
1. Markedly limited study due to extensive metallic susceptibility artifact. 2. Postsurgical changes of TFCC repair. What is seen of the TFCC demonstrates areas of ill-defined signal abnormality suspicious for partial tears with or without scarring.3. Normal appearance of the median nerve.