Pictorial Essay Approaches To Problem Solving

(A, B) PA plain mobility radiographs in ulnar and radial deviation.

(A) Large diastasis in ulnar deviation between the scaphoid bone fragments. (A) Coronal SE T1-WI; (B) Coronal SE PD-WI FS; and (C) Coronal SE T1-WI FS with gadolinium.

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(A) Sequela of an intra-articular fracture of the distal radial epiphysis with a residual step-off (oblique arrow) and marrow oedema (vertical arrow) at the proximal pole of the scaphoid bone.

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(E) Excessive shortening (horizontal arrow) after surgery (oblique arrows).(F) subchondral erosions at the most proximal part of the radial sigmoid notch. (A, E) Coronal SE T1-WI; (B, F) Coronal SE PD-WI FS; (C) Sagittal 3D-GRE; (D) PA plain radiograph; and (G) Coronal SE T1-WI FS with gadolinium.(A–C) Neoarticulation in the center of the ulnar styloid process, surrounding marrow oedema, (B) and juxta-articular cysts (arrows) (B, C).SAS may have a negative impact on the three-dimensional hand positioning during daily activities [Radioscafoid and radiolunate abutment.(A) Coronal SE T1-WI; (B, C) Coronal 3D-GRE; (D, E) PA plain radiographs; and (F) Coronal SE PD-WI FS.(F) Massive deformation at the triquetral bone (other patient). (A) PA plain mobility radiographs in radial and ulnar deviation.(A, B) Step-off at the lunotriquetral joint of the first and second line of Gilula.(B) Secondary impaction of the hamate and lunate bone in ulnar deviation (oblique arrow). (A) Sagittal 3D-GRE; (B) Coronal 3D-GRE; and (C) Coronal SE PD-WI FS. This underscores the need for a thorough posttraumatic joint evaluation.(A, B) Old posttraumatic deformation with subchondral cysts at the dorsum of the capitate bone (A) and the base of the second and third metacarpal bone (B) with misalignment around the quadrangular joint. Follow-up radiographs and MRI are mandatory in the presence of clinical symptoms. Secondary Abutment Syndromes of the Wrist in Trauma: A Pictorial Essay.Traumatic lesions of the wrist occur frequently and may give rise to underdiagnosed secondary abutment syndromes.The latter are a common cause of incapacitating pain and limited range of motion, despite minimal or even absent alterations on radiographs.

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