In the assessment of individuals with mild or severe wrist pain, Wrist MRI performs a significant role. The doctor should identify not just the reason but also the degree of the discomfort if invasive or conservative treatment is necessary. MRI evidence is utilised to select the surgical strategy.
Given that a cause of wrist discomfort cannot be identified with the clinical assessment, the proper diagnosis and suitable patient care can be determined with a computational method to MRI reading. The surgeon plans for an arthroscopic operation, an open intervention or a combination treatment to determine if the origin of wrist discomfort is intra-articular or extra-articular.
Intra-articular pain: The inner joint reasons of wrist discomfort can be classified into diseases of bone or soft tissue. Intra-articular bone disorders include cracks, vascularized necrosis, stylocarpal impaction as well as ulocarpal impaction.
In the past, several classification methods, including the Lichtman categorization system, was used to examine and evaluate Kienböck illness. In numerous problematic patients, though, many physicians use the arthroscopic categorization systems. Familiarity with Kienböck disease’s surgical categorization can aid MR imaging and surgical planning.
Extra-articular Pain: Other common and unusual reasons of extra-articular wrists pain may include tendon as well as tendon sheathing injuries (VSIs), neuromas, sheath tumours of the nervous system or auxiliary muscles.
About Wrist MRI
MRI images should be acquired on all 3 plans for appropriate radiological analysis; coronal, axial as well as sagittal. The axial images of tissues, blood vessels, neurons, and the two radiocarpal articulations are very nice to visualise. The ligaments and bones are also noticeable in axial images but best examined in coronary views.