Reason: 31M with wrist pain, eval for TFCC injury History: wrist pain LIGAMENTS: The scapholunate and lunotriquetral ligaments appear intact within the limitations of a non arthrogram examination.TRIANGULAR FIBROCARTILAGE COMPLEX: There is increased fluid signal abnormality within the articular disc of the triangular fibrocartilage at the level of its insertion on the ulnar styloid indicating partial thickness tearing. Some of the fibers of the articular disc can be traced to their insertion on the ulnar styloid. Additionally, there is increased fluid signal intensity within the triangular fibrocartilage complex at the level of its foveal attachment also indicating a partial thickness tear. Some of the fibers can be traced to their foveal attachment. Note is made of a 3 mm linear ossific density along the distal aspect of the ulna corresponding to the findings seen on recent radiographs which may reflect prior remote trauma. There is no bone marrow edema or other findings to suggest acute fracture. There is a trace amount of fluid within the distal radial ulnar joint.TENDONS: The flexor and extensor tendons appear intact. There is perhaps minimal intermediate signal intensity within the extensor carpi ulnaris indicating minimal tendinosis of questionable clinical significance. BONES: No bone marrow signal abnormality is identified.ADDITIONAL
Partial thickness tearing of the triangular fibrocartilage complex involving its insertion on the ulnar styloid as well as its foveal attachment. Other findings as described above.