Female 78 years old Reason: eval for wrist pathology/tendinitis History: recurrent left wrist swelling/pain LIGAMENTS: The scapholunate ligament is well visualized and intact.TRIANGULAR FIBROCARTILAGE COMPLEX: There is disruption of the triangular fibrocartilage complex with extension of joint fluid between the radiocarpal and distal radial ulnar joints.TENDONS: The tendons appear intact with no findings to suggest tenosynovitis. BONES: There is narrowing and osteophyte formation at the basilar joint with subchondral cyst formation in the base of the first metacarpal and trapezium.
1.Severe osteoarthritis of the basilar joint.2.Disruption of the triangular fibrocartilage complex.3.Radiocarpal and distal radioulnar joint effusions.4.No findings to suggesting tenosynovitis.