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
Kompoliti E et al: SLAC and SNAC wrist: the top five things that general radiologists need to know. Tomography. 7(4):488-503, 2021
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
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
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
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
Kompoliti E et al: SLAC and SNAC wrist: the top five things that general radiologists need to know. Tomography. 7(4):488-503, 2021
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
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
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