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Wrist Arthrography
Brandt C. Wible, MD; A. Keith Rastogi, MD; Julia R. Crim, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        TERMINOLOGY

        • Definitions

          • Single compartment arthrography (most common)
            • Radiocarpal compartment injection
            • MR (ideally) or CT follow to optimally assess for ligamentous injury
          • Tricompartment arthrography (rarely performed in current practice)
            • Sequential injections of radiocarpal, midcarpal, and distal radioulnar joints
              • Short time delay between injections permits contrast to dissipate
            • Slightly increased sensitivity to small ligament tears, particularly partial tears

        PREPROCEDURE

        • Indications

          • Getting Started

            PROCEDURE

            • Patient Position/Location

              • Procedure Steps

                • Findings and Reporting

                  • Alternative Procedures/Therapies

                    POST PROCEDURE

                    • Postprocedure Imaging

                      OUTCOMES

                      • Complications

                        Selected References

                        1. Kompoliti E et al: SLAC and SNAC wrist: the top five things that general radiologists need to know. Tomography. 7(4):488-503, 2021
                        2. Kim S et al: Evaluation of the triangular fibrocartilage: comparison of two-compartment wrist CT arthrography using the distal radioulnar and radiocarpal joints and unicompartment wrist CT arthrography using the radiocarpal joint. Br J Radiol. 92(1102):20190298, 2019
                        3. Ramdhian-Wihlm R et al: Cone-beam computed tomography arthrography: an innovative modality for the evaluation of wrist ligament and cartilage injuries. Skeletal Radiol. 41(8):963-9, 2012
                        4. Burns JE et al: Pitfalls that may mimic injuries of the triangular fibrocartilage and proximal intrinsic wrist ligaments at MR imaging. Radiographics. 31(1):63-78, 2011
                        5. Pennes DR: Radiocarpal joint injection technique. AJR Am J Roentgenol. 197(3):W545; author reply W546, 2011
                        6. Moser T et al: Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 28(3):787-800; quiz 911, 2008
                        7. Bille B et al: A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg Am. 32(6):834-41, 2007
                        8. Cerezal L et al: Wrist MR arthrography: how, why, when. Radiol Clin North Am. 43(4):709-31, viii, 2005
                        9. Zlatkin MB et al: MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am. 12(2):301-31, vi-vii, 2004
                        10. Zoga AC et al: Indirect magnetic resonance arthrography: applications in sports imaging. Top Magn Reson Imaging. 14(1):25-33, 2003
                        11. Lomasney LM et al: Distal radioulnar joint arthrography: simplified technique. Radiology. 199(1):278-9, 1996
                        Related Anatomy
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                        Related Differential Diagnoses
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                        References
                        Tables

                        Tables

                        KEY FACTS

                        • Preprocedure

                          • Procedure

                            • Post Procedure

                              TERMINOLOGY

                              • Definitions

                                • Single compartment arthrography (most common)
                                  • Radiocarpal compartment injection
                                  • MR (ideally) or CT follow to optimally assess for ligamentous injury
                                • Tricompartment arthrography (rarely performed in current practice)
                                  • Sequential injections of radiocarpal, midcarpal, and distal radioulnar joints
                                    • Short time delay between injections permits contrast to dissipate
                                  • Slightly increased sensitivity to small ligament tears, particularly partial tears

                              PREPROCEDURE

                              • Indications

                                • Getting Started

                                  PROCEDURE

                                  • Patient Position/Location

                                    • Procedure Steps

                                      • Findings and Reporting

                                        • Alternative Procedures/Therapies

                                          POST PROCEDURE

                                          • Postprocedure Imaging

                                            OUTCOMES

                                            • Complications

                                              Selected References

                                              1. Kompoliti E et al: SLAC and SNAC wrist: the top five things that general radiologists need to know. Tomography. 7(4):488-503, 2021
                                              2. Kim S et al: Evaluation of the triangular fibrocartilage: comparison of two-compartment wrist CT arthrography using the distal radioulnar and radiocarpal joints and unicompartment wrist CT arthrography using the radiocarpal joint. Br J Radiol. 92(1102):20190298, 2019
                                              3. Ramdhian-Wihlm R et al: Cone-beam computed tomography arthrography: an innovative modality for the evaluation of wrist ligament and cartilage injuries. Skeletal Radiol. 41(8):963-9, 2012
                                              4. Burns JE et al: Pitfalls that may mimic injuries of the triangular fibrocartilage and proximal intrinsic wrist ligaments at MR imaging. Radiographics. 31(1):63-78, 2011
                                              5. Pennes DR: Radiocarpal joint injection technique. AJR Am J Roentgenol. 197(3):W545; author reply W546, 2011
                                              6. Moser T et al: Multidetector CT arthrography of the wrist joint: how to do it. Radiographics. 28(3):787-800; quiz 911, 2008
                                              7. Bille B et al: A comparison of CT arthrography of the wrist to findings during wrist arthroscopy. J Hand Surg Am. 32(6):834-41, 2007
                                              8. Cerezal L et al: Wrist MR arthrography: how, why, when. Radiol Clin North Am. 43(4):709-31, viii, 2005
                                              9. Zlatkin MB et al: MR imaging of ligaments and triangular fibrocartilage complex of the wrist. Magn Reson Imaging Clin N Am. 12(2):301-31, vi-vii, 2004
                                              10. Zoga AC et al: Indirect magnetic resonance arthrography: applications in sports imaging. Top Magn Reson Imaging. 14(1):25-33, 2003
                                              11. Lomasney LM et al: Distal radioulnar joint arthrography: simplified technique. Radiology. 199(1):278-9, 1996