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Indications for Use of MRI of the Hand & Wrist

bulletSuspected scaphoid fracture, or other carpal injury. MRI is much more sensitive and specific than both plain film and scintigraphy at detecting otherwise occult fractures
bulletAssessment of carpal tunnel syndrome. The median nerve is particularly well depicted by dedicated extremity MRI coils.
bulletAssessment of carpal instability. Suspected disruption of intracarpal ligaments especially scapholunate and lunotriquetral ligaments.
bulletSuspected injury to triangular fibrocartilage complex.
bulletAssessment of the arthritides. MRI is sensitive to early bone erosions, cartilage thinning and joint effusions.
bulletAssessment of flexor and extensor tendons. Depiction of tenosynovitis.
bulletAssessment of miscellaneous swellings, e.g. diagnosis of ganglion cysts and giant cell tumours and depiction of degree of bony, joint, tendon or nerve involvement.
bulletAssessment of Guyon's canal (ulnar nerve tunnel).
bulletDetection and staging of suspected avascular necrosis, usually of the lunate, i.e. Kienböck's disease.