High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy
Background: The injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) could demonstrate the detailed complex anatomy of TFCC in Chinese. Methods: Fourteen...
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Wolters Kluwer
2017-01-01
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Series: | Chinese Medical Journal |
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Online Access: | http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=7;spage=817;epage=822;aulast=Zhan |
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author | Hui-Li Zhan Wen-Ting Li Rong-Jie Bai Nai-Li Wang Zhan-Hua Qian Wei Ye Yu-Ming Yin |
author_facet | Hui-Li Zhan Wen-Ting Li Rong-Jie Bai Nai-Li Wang Zhan-Hua Qian Wei Ye Yu-Ming Yin |
author_sort | Hui-Li Zhan |
collection | DOAJ |
description | Background: The injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) could demonstrate the detailed complex anatomy of TFCC in Chinese.
Methods: Fourteen Chinese cadaveric wrists (from four men and three women; age range at death from 30 to 60 years; mean age at 46 years) and forty healthy Chinese wrists (from 20 healthy volunteers, male/female: 10/10; age range from 21 to 53 years with a mean age of 32 years) in Beijing Jishuitan Hospital from March 2014 to March 2016 were included in this study. All cadavers and volunteers had magnetic resonance (MR) examination of the wrist with coronal T1-weighted and proton density-weighted imaging with fat suppression in three planes, respectively. MR arthrography (MRAr) was performed on one of the cadaveric wrists. Subsequently, all 14 cadaveric wrists were sliced into 2 mm thick slab with band saw (six in coronal plane, four in sagittal plane, and four in axial plane). The MRI features of normal TFCC were analyzed in these specimens and forty healthy wrists.
Results: Triangular fibrocartilage, the ulnar collateral ligament, and the meniscal homolog could be best observed on images in coronal plane. The palmar and dorsal radioulnar ligaments were best evaluated in transverse plane. The ulnotriquetral and ulnolunate ligaments were best visualized in sagittal plane. The latter two structures and the volar and dorsal capsules were better demonstrated on MRAr.
Conclusion: High-resolution 3T MRI is capable to show the detailed complex anatomy of the TFCC and can provide valuable information for the clinical diagnosis in Chinese. |
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issn | 0366-6999 |
language | English |
last_indexed | 2024-12-13T07:31:47Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer |
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series | Chinese Medical Journal |
spelling | doaj.art-a4b65df6afcb4c4aadd2ead61045b9712022-12-21T23:55:11ZengWolters KluwerChinese Medical Journal0366-69992017-01-01130781782210.4103/0366-6999.202746High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional AnatomyHui-Li ZhanWen-Ting LiRong-Jie BaiNai-Li WangZhan-Hua QianWei YeYu-Ming YinBackground: The injury of the triangular fibrocartilage complex (TFCC) is a common cause of ulnar-sided wrist pain. The aim of this study was to investigate if the high-resolution 3T magnetic resonance imaging (MRI) could demonstrate the detailed complex anatomy of TFCC in Chinese. Methods: Fourteen Chinese cadaveric wrists (from four men and three women; age range at death from 30 to 60 years; mean age at 46 years) and forty healthy Chinese wrists (from 20 healthy volunteers, male/female: 10/10; age range from 21 to 53 years with a mean age of 32 years) in Beijing Jishuitan Hospital from March 2014 to March 2016 were included in this study. All cadavers and volunteers had magnetic resonance (MR) examination of the wrist with coronal T1-weighted and proton density-weighted imaging with fat suppression in three planes, respectively. MR arthrography (MRAr) was performed on one of the cadaveric wrists. Subsequently, all 14 cadaveric wrists were sliced into 2 mm thick slab with band saw (six in coronal plane, four in sagittal plane, and four in axial plane). The MRI features of normal TFCC were analyzed in these specimens and forty healthy wrists. Results: Triangular fibrocartilage, the ulnar collateral ligament, and the meniscal homolog could be best observed on images in coronal plane. The palmar and dorsal radioulnar ligaments were best evaluated in transverse plane. The ulnotriquetral and ulnolunate ligaments were best visualized in sagittal plane. The latter two structures and the volar and dorsal capsules were better demonstrated on MRAr. Conclusion: High-resolution 3T MRI is capable to show the detailed complex anatomy of the TFCC and can provide valuable information for the clinical diagnosis in Chinese.http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=7;spage=817;epage=822;aulast=ZhanAnatomy; Magnetic Resonance Imaging; Triangular Fibrocartilage Complex; Wrist |
spellingShingle | Hui-Li Zhan Wen-Ting Li Rong-Jie Bai Nai-Li Wang Zhan-Hua Qian Wei Ye Yu-Ming Yin High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy Chinese Medical Journal Anatomy; Magnetic Resonance Imaging; Triangular Fibrocartilage Complex; Wrist |
title | High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy |
title_full | High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy |
title_fullStr | High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy |
title_full_unstemmed | High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy |
title_short | High-resolution 3T Magnetic Resonance Imaging of the Triangular Fibrocartilage Complex in Chinese Wrists: Correlation with Cross-sectional Anatomy |
title_sort | high resolution 3t magnetic resonance imaging of the triangular fibrocartilage complex in chinese wrists correlation with cross sectional anatomy |
topic | Anatomy; Magnetic Resonance Imaging; Triangular Fibrocartilage Complex; Wrist |
url | http://www.cmj.org/article.asp?issn=0366-6999;year=2017;volume=130;issue=7;spage=817;epage=822;aulast=Zhan |
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