Reason: possible scaphoid fracture, pain over lunate as well History: fall and pain LIGAMENTS: Although this examination was not optimized for evaluation of the intrinsic ligaments of the wrist, the scapholunate and lunotriquetral ligaments appear intact.TRIANGULAR FIBROCARTILAGE COMPLEX: The triangular fibrocartilage complex appears intact within the limitations of this non arthrogram study.TENDONS: The flexor and extensor tendons appear intact. There is increased signal abnormality within the extensor carpi ulnaris tendon which may represent a mild strain injury or perhaps tendinosis. There is circumferential fluid within the tendon sheath which may represent a very mild tenosynovitis.BONES: There is increased signal abnormality within the distal ulna as well as decreased linear signal abnormality traversing the ulnar styloid indicating a nondisplaced fracture. There is also increased bone marrow signal abnormality within the triquetrum with associated linear decreased signal abnormality traversing the triquetrum indicating a comminuted nondisplaced fracture. No definite scaphoid fracture is identified.ADDITIONAL
Nondisplaced fractures of the ulnar styloid and triquetrum. No bone marrow signal abnormality to suggest a scaphoid fracture as clinically questioned. Other findings as described above.