Reason: Possible LT ligament tear, possible TFCC tear History: ulnar sided wrist pain LIGAMENTS: We see no contrast extending across the scapholunate or triquetral ligaments to indicate a complete tear. Focal increased signal intensity involving the membranous portion of the scapholunate ligament near its insertion on the scaphoid could represent a partial tear, but this is equivocal. The lunotriquetral ligament appears normal.TRIANGULAR FIBROCARTILAGE COMPLEX: We see no gadolinium traversing the articular disc of the triangular fibrocartilage or entering the distal radioulnar joint to indicate a full-thickness tear. Mild heterogeneity of the articular disc suggests mild degeneration. Contrast extends from the ulnar side of the radiocarpal joint proximally along the medial margin of the distal ulna volar to the extensor carpi ulnaris tendon, perhaps representing a perforation/disruption of the capsule, but this is of questionable clinical significance.TENDONS: The tendons appear normal.BONES: We see no fracture or malalignment.ADDITIONAL
Extension of contrast from the radiocarpal joint along the medial aspect of the ulna may represent a perforation of the medial capsular structures of the wrist. This is of uncertain clinical significance and there are no findings of a lunotriquetral tear. Other findings as above.