77 year-old female, evaluate for tendon injury, infection, or foreign body A marker was placed along the volar aspect of the distal thenar region/palm and the field of view was enlarged to include this region. Nonspecific edema-type signal is present along the flexor pollicis longus tendon as it courses volar to the first MCP joint. There is also mild nonspecific inflammation of the subcutaneous fat of the thumb and surrounding the proximal phalanx. Other than a small amount of fluid in the flexor pollicis longus tendon sheath, the tendon itself appears intact. The bone marrow signal intensity appears normal. There is no artifact to suggest foreign body. No fluid collection/abscess is evident. Mild edema of the subcutaneous fat along the radial aspect of the second metacarpophalangeal joint is noted. The thenar musculature appears intact. Trace fluid within the flexor tendon sheaths of the fingers is likely of no current clinical significance. Although not protocoled for detailed evaluation of the collateral ligaments of the thumb, these appear grossly intact. Note is made of osteoarthritis of the wrist and hand, as well as a possible TFCC tear, although this is not well imaged on this exam.
Mild nonspecific inflammatory changes along the flexor pollicis longus tendon and proximal phalanx of the thumb as well as osteoarthritis of the wrist. We see no tendon injury, foreign body or fracture.