Semin Musculoskelet Radiol 2021; 25(02): 329-345
DOI: 10.1055/s-0041-1731331
Review Article

Postoperative Imaging of Ulnar Wrist Pain

1   Department of Radiology, Diagnóstico Médico Cantabria (DMC), Santander, Spain
,
Eva Llopis
2   Department of Radiology, Hospital de la Ribera, Valencia, Spain
,
Ana Canga
3   Department of Radiology, Marqués de Valdecilla University Hospital, Santander, Spain
,
Francisco Del Piñal
4   Private Practice Hand and Reconstructive Surgery, Madrid, Spain
› Institutsangaben

Abstract

Ulnar wrist pain, caused by a broad spectrum of bone and soft tissue injuries, is the most common clinical condition of the wrist. Multiple surgical techniques and their variants in the treatment of these injuries are constantly evolving. Postoperative evaluation of the wrist for many surgeons is limited to serial clinical and radiographic monitoring. However, imaging methods such as ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), and arthrographic techniques (arthrographic CT and arthrographic MRI) play a fundamental role in diagnosing and managing postsurgical complications.

The several critical aspects in evaluating the postsurgical wrist imaging spectrum are familiarity with the surgical techniques, knowledge of the original clinical problem, understanding the strength and limitations of the different radiologic modalities, and effective communication between surgeon and radiologist.



Publikationsverlauf

Artikel online veröffentlicht:
09. August 2021

© 2021. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 del Piñal F. Dry arthroscopy and its applications. Hand Clin 2011; 27 (03) 335-345
  • 2 Sachar K. Ulnar-sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears. J Hand Surg Am 2008; 33 (09) 1669-1679
  • 3 Atzei A, Luchetti R. Foveal TFCC tear classification and treatment. Hand Clin 2011; 27 (03) 263-272
  • 4 Watanabe A, Souza F, Vezeridis PS, Blazar P, Yoshioka H. Ulnar-sided wrist pain. II. Clinical imaging and treatment. Skeletal Radiol 2010; 39 (09) 837-857
  • 5 Boden B, Jain A, Campbell D, Campbell R. Post-operative imaging of the hand and wrist. In: Rowbotham E, Grainger AJ. eds. Postoperative Imaging of Sports. New York, NY: Springer; 2020: 77-125
  • 6 Campbell RSD, Campbell DA. Imaging the post-operative wrist and hand. In: Davies AM, Grainger AJ, James SJ. eds. Imaging of the Hand and Wrist. Berlin, Germany: Springer; 2013: 365-386
  • 7 Stern C, Bouaicha S, Del Grande F, Sutter R. Postoperative MR imaging in shoulder instability and intra-articular damage. Magn Reson Imaging Clin N Am 2020; 28 (02) 223-242
  • 8 Nakamura T, Makita A. The proximal ligamentous component of the triangular fibrocartilage complex: functional anatomy and three-dimensional changes in length of the radioulnar ligament during pronation and supination. J Hand Surg Am 2000; 25B: 479-486
  • 9 Nakamura T, Takayama S, Horiuchi Y, Yabe Y. Origins and insertions of the triangular fibrocartilage complex: a histological study. J Hand Surg [Br] 2001; 26 (05) 446-454
  • 10 Cerezal L, de Dios Berná-Mestre J, Canga A. et al. MR and CT arthrography of the wrist. Semin Musculoskelet Radiol 2012; 16 (01) 27-41
  • 11 Palmer AK. Triangular fibrocartilage complex lesions: a classification. J Hand Surg Am 1989; 14 (04) 594-606
  • 12 Piñal F. The 1B constellation: an attempt to classify Palmer 1B class. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 87-97
  • 13 Abe Y, Moriya A, Tominaga Y, Yoshida K. Dorsal tear of triangular fibrocartilage complex: clinical features and treatment. J Wrist Surg 2016; 5 (01) 42-46
  • 14 Haugstvedt JR, Søreide E. Arthroscopic management of triangular fibrocartilage complex peripheral injury. Hand Clin 2017; 33 (04) 607-618
  • 15 Arsalan-Werner A, Grüter L, Mehling IM, Moll W, Wölfle O, Sauerbier M. Results after arthroscopic treatment of central traumatic lesions of the triangular fibrocartilage complex. Arch Orthop Trauma Surg 2018; 138 (05) 731-737
  • 16 Atzei A, Rizzo A, Luchetti R, Fairplay T. Arthroscopic foveal repair of triangular fibrocartilage complex peripheral lesion with distal radioulnar joint instability. Tech Hand Up Extrem Surg 2008; 12 (04) 226-235
  • 17 Atzei A. New trends in arthroscopic management of type 1-B TFCC injuries with DRUJ instability. J Hand Surg Eur Vol 2009; 34 (05) 582-591
  • 18 Atzei A, Luchetti R, Braidotti F. Arthroscopic foveal repair of the triangular fibrocartilage complex. J Wrist Surg 2015; 4 (01) 22-30
  • 19 Kermarrec G, Cohen G, Upex P, Fontes D. Arthroscopic foveal reattachment of the triangular fibro cartilaginous complex. J Wrist Surg 2020; 9 (03) 256-262
  • 20 Nakamura T, Sato K, Okazaki M, Toyama Y, Ikegami H. Repair of foveal detachment of the triangular fibrocartilage complex: open and arthroscopic transosseous techniques. Hand Clin 2011; 27 (03) 281-290
  • 21 Park JH, Kim D, Park JW. Arthroscopic one-tunnel transosseous foveal repair for triangular fibrocartilage complex (TFCC) peripheral tear. Arch Orthop Trauma Surg 2018; 138 (01) 131-138
  • 22 Bain GI, Eng K, Lee YC, Mcguire D, Zumstein M. Reconstruction of chronic foveal TFCC tears with an autologous tendon graft. J Wrist Surg 2015; 4 (01) 9-14
  • 23 Liu B, Arianni M, Wu F. Arthroscopic ligament-specific repair for triangular fibrocartilage complex foveal avulsions: a minimum 2-year follow-up study. J Hand Surg Eur Vol 2021; 46 (03) 270-277
  • 24 Luchetti R, Atzei A. Arthroscopic assisted tendon reconstruction for triangular fibrocartilage complex irreparable tears. J Hand Surg Eur Vol 2017; 42 (04) 346-351
  • 25 Chu-Kay Mak M, Ho PC. Arthroscopic-assisted triangular fibrocartilage complex reconstruction. Hand Clin 2017; 33 (04) 625-637
  • 26 Robba V, Fowler A, Karantana A, Grindlay D, Lindau T. Open versus arthroscopic repair of 1B ulnar-sided triangular fibrocartilage complex tears: a systematic review. Hand (N Y) 2020; 15 (04) 456-464
  • 27 Luchetti R. Arthroscopic ulnar head resection and Sauvé-Kapandji. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 312-331
  • 28 Moulton LS, Giddins GEB. Distal radio-ulnar implant arthroplasty: a systematic review. J Hand Surg Eur Vol 2017; 42 (08) 827-838
  • 29 Gulati A, Wadhwa V, Ashikyan O, Cerezal L, Chhabra A. Current perspectives in conventional and advanced imaging of the distal radioulnar joint dysfunction: review for the musculoskeletal radiologist. Skeletal Radiol 2019; 48 (03) 331-348
  • 30 Nakamura T. Radial side tear of the triangular fibrocartilage complex. In: del Piñal F, Mathoulin C, Luchetti R. eds. Arthroscopic Management of Distal Radius Fractures. Berlin, Germany: Springer; 2010: 89-98
  • 31 Cerezal L, del Piñal F, Abascal F, García-Valtuille R, Pereda T, Canga A. Imaging findings in ulnar-sided wrist impaction syndromes. Radiographics 2002; 22 (01) 105-121
  • 32 Llopis E, Restrepo R, Kassarjian A, Cerezal L. Overuse injuries of the wrist. Radiol Clin North Am 2019; 57 (05) 957-976
  • 33 Borelli P, Luchetti R. Treatment of the associated ulnar-sided problems. In: del Piñal F, Mathoulin C, Luchetti R. eds. Arthroscopic Management of Distal Radius Fractures. Berlin, Germany: Springer; 2010: 175-190
  • 34 Constantine KJ, Tomaino MM, Herndon JH, Sotereanos DG. Comparison of ulnar shortening osteotomy and the wafer resection procedure as treatment for ulnar impaction syndrome. J Hand Surg Am 2000; 25 (01) 55-60
  • 35 Mwaturura T, Daneshvar P, Pike J, Goetz TJ. Clinical and radiographic correlates for the treatment of ulnocarpal impaction. J Wrist Surg 2019; 8 (03) 192-197
  • 36 Henry M. TFCC: a DRUJ perspective. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 121-135
  • 37 Nishikawa S, Toh S, Miura H, Arai K. The carpal detachment injury of the triangular fibrocartilage complex. J Hand Surg [Br] 2002; 27 (01) 86-89
  • 38 Watson HK, Weinzweig J. Triquetral impingement ligament tear (TILT). J Hand Surg [Br] 1999; 24 (03) 321-324
  • 39 Leclercq C, Mathoulin C. Members of EWAS. Complications of wrist arthroscopy: a multicenter study based on 10,107 arthroscopies. J Wrist Surg 2016; 5 (04) 320-326
  • 40 Topper SM, Wood MB, Ruby LK. Ulnar styloid impaction syndrome. J Hand Surg Am 1997; 22 (04) 699-704
  • 41 Bain GI, Zotti MGT, Eng K. Arthroscopic ulnar styloidectomy for ulnar styloid impaction syndrome. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 183-190
  • 42 Haugstvedt JR. LT tears and arthroscopic repair. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 213-236
  • 43 Haugstvedt JR, Rigó IZ. Arthroscopic assisted reconstruction of LT-ligament: a description of a new technique. J Wrist Surg 2021; 10 (01) 2-8
  • 44 Shin AY, Weinstein LP, Berger RA, Bishop AT. Treatment of isolated injuries of the lunotriquetral ligament. A comparison of arthrodesis, ligament reconstruction and ligament repair. J Bone Joint Surg Br 2001; 83 (07) 1023-1028
  • 45 Hargreaves D. Arthroscopic treatment of midcarpal instability. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 265-273
  • 46 Niacaris T, Ming BW, Lichtman DM. Midcarpal instability: a comprehensive review and update. Hand Clin 2015; 31 (03) 487-493
  • 47 Jing SS, Smith G, Deshmukh S. Demystifying palmar midcarpal instability. J Wrist Surg 2021; 10 (02) 94-101
  • 48 Toms AP, Chojnowski A, Cahir JG. Midcarpal instability: a radiological perspective. Skeletal Radiol 2011; 40 (05) 533-541
  • 49 Blum AG, Zabel JP, Kohlmann R. et al. Pathologic conditions of the hypothenar eminence: evaluation with multidetector CT and MR imaging. Radiographics 2006; 26 (04) 1021-1044
  • 50 Kaewlai R, Avery LL, Asrani AV, Abujudeh HH, Sacknoff R, Novelline RA. Multidetector CT of carpal injuries: anatomy, fractures, and fracture-dislocations. Radiographics 2008; 28 (06) 1771-1784
  • 51 Erickson BJ, Mcelheny K, Chalmers PN. et al. Performance and return to sport after excision of the fractured hook of the hamate in professional baseball players. Am J Sports Med 2020; 48 (12) 3066-3071
  • 52 Walsh IV JJ, Bishop AT. Diagnosis and management of hamate hook fractures. Hand Clin 2000; 16 (03) 397-403 , viii
  • 53 Bain GI, MacLean SB, Yeo CJ, Perilli E, Lichtman DM. The etiology and pathogenesis of Kienböck disease. J Wrist Surg 2016; 5 (04) 248-254
  • 54 Lichtman DM, Pientka II WF, Bain GI. Kienböck disease: a new algorithm for the 21st century. J Wrist Surg 2017; 6 (01) 2-10
  • 55 Mir X, Barrera-Ochoa S, Lluch A. et al. New surgical approach to advanced Kienböck disease: lunate replacement with pedicled vascularized scaphoid graft and radioscaphoidal partial arthrodesis. Tech Hand Up Extrem Surg 2013; 17 (02) 72-79
  • 56 Compson J. Arthroscopic management of piso-triquetral conditions. In: del Piñal F, Mathoulin C, Nakamura T. eds. Arthroscopic Management of Ulnar Pain. Berlin, Germany: Springer; 2012: 237-251
  • 57 Allende C, Le Viet D. Extensor carpi ulnaris problems at the wrist—classification, surgical treatment and results. J Hand Surg [Br] 2005; 30 (03) 265-272
  • 58 Hui-Chou HG, McClinton MA. Current options for treatment of hypothenar hammer syndrome. Hand Clin 2015; 31 (01) 53-62