16-year-old male with pain. Evaluate for scapholunate ligament tear. LIGAMENTS: The scapholunate interval is slightly widened relative to the remainder of the carpal intervals, measuring approximately 3 mm on the arthrogram images. However, contrast remains within the midcarpal joint without extension into the radiocarpal joint to confirm a lunotriquetral or scapholunate ligament tear. TRIANGULAR FIBROCARTILAGE COMPLEX: The triangular fibrocartilage complex appears intact.TENDONS: Gadolinium extends along several of the extensor tendons which we suspect is iatrogenic.BONES: There is edema within the distal radial epiphysis with a thin linear band of abnormal signal intensity extending from the physis to the articular surface, indicating a nondisplaced fracture. The remainder of the bone marrow signal intensity appears normal.
1. Nondisplaced fracture of the distal radial epiphysis extending to the articular surface.2. Slight widening of the scapholunate interval without contrast extension into the radiocarpal joint to indicate confirm a tear.