Well, I'm happy to say that the stress fracture in my left arm healed beautifully and isn't giving me any further grief, but the fall in Tanzania really made a mess of my left wrist.
MRI WRIST RIGHT WO CONTRAST
Study Result
Narrative & Impression |
HISTORY: Right wrist pain COMPARISON: None. TECHNIQUE: MRI of the right wrist performed on a 1.5T scanner without intravenous contrast. FINDINGS: Tendons: The flexor and extensor tendons are normal in signal and configuration. The carpal tunnel appears normal. Ligaments: There is partial tearing of the volar scapholunate ligament. The intrinsic and extrinsic wrist ligaments are intact. TFCC: There is full-thickness rupture of the articular disc of the TFCC. The TFCC complex is otherwise intact. Cartilage/Joint: There is moderate chondral wear at the triscaphe the joints. Small effusion noted within the the distal radioulnar joint. No synovitis or loose body is identified. Bone: The bone and bone marrow are normal. No fracture is identified. Other: There is a 4 mm x 2 mm ganglion cyst at the dorsal margins of the scapholunate ligament (series 3, image 13). No abnormality is seen in the region of the radial, ulnar, or median nerve. IMPRESSION: 1.Full-thickness tearing of the articular disc of the TFCC. 2.Partial tearing of the volar scapholunate ligament. 3.Grade III chondromalacia at the triscaphe joint. 4.Tiny dorsal ganglion cyst The orthopaedic specialist is optimistic that if I can immobilize it for 4-6 weeks it might not need surgery, so that's the goal. How on earth I'm going to NOT use my right hand for that long is a mystery! Lots of reading on the kindle, I suppose. May still need surgery - but we're doing everything we can to avoid it. |
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