Reason: SL pain after reconstruction History: pain. BONES: There is tubular signal abnormality noted within the scaphoid and lunate likely representing the site of a prior orthopedic screw. There are tiny foci of signal abnormality within the distal pole of the scaphoid which may represent small degenerative cysts of questionable significance.LIGAMENTS: Contrast is noted within the radiocarpal joint. There are foci of low signal intensity within the radiocarpal joint which could represent a combination of metallic susceptibility artifact from prior surgery and synovitis. Contrast extends into the scapholunate interval via a defect of the membranous portion of the ligament, but the contrast does not extend beyond the scapholunate interval into the remainder of the midcarpal joint. The dorsal fibers of the scapholunate ligament appear intact. We see no findings to suggest disruption of the lunotriquetral ligament.TRIANGULAR FIBROCARTILAGE COMPLEX: There is mild intrasubstance signal of the triangular fibrocartilage suggesting mild degeneration, but we see no gadolinium filled tear.TENDONS: There is gadolinium within the tendon sheath of the second and third dorsal compartment tendons which is iatrogenic. The flexor and extensor tendons appear intact. ADDITIONAL
1. Surgical changes of scapholunate ligament reconstruction. There is a defect of the membranous portion of the scapholunate ligament, but dorsally the ligament appears intact.2. Possible mild synovitis of the radiocarpal joint.