Reason: TFCC tear? History: pain and + piano key LIGAMENTS: Although this examination was not optimized for detailed evaluation of the intrinsic ligaments of the wrist, the scapholunate and lunotriquetral ligaments appear intact. Intermediate signal intensity within the scapholunate ligament may reflect degeneration.TRIANGULAR FIBROCARTILAGE COMPLEX: There is increased signal abnormality on fluid sensitive sequences within the triangular fibrocartilage complex disc, at the level of its radial attachment, indicating a tear (images 11 and 12; series 601). Additionally, the foveal attachment is not well visualized and there is increased signal abnormality on fluid sensitive sequences, indicating that this may also be partially torn (image 13-15; series 601). There are multiple foci of metallic susceptibility artifact in the surrounding area likely reflecting postsurgical change. TENDONS: The flexor and extensor tendons appear intact. BONES: There is mild increased signal abnormality within the ulnar styloid which may be degenerative in etiology. There is subchondral cyst formation within the distal radius and scaphoid which may be degenerative in etiology. Increased bone marrow signal abnormality within the ulnar aspect of the proximal lunate may reflect ulnar abutment syndrome. The previously described positive ulnar variance is better seen on recent radiographs.ADDITIONAL
1. Tearing of the triangular fibrocartilage complex as described above.2. Findings suggestive of ulnar abutment syndrome as described above.