The Hand and Wrist

Question 1

What is the most common mechanism of injury at the wrist?

Answer 1

FOOSH (distal radius)

Question 2

What is the most commonly fractured carpal bone?

Answer 2

Scaphoid

Question 3

What imaging technique is typically performed first at the hand/wrist?

Answer 3

Radiographs (x-ray)

Question 4

What 3 views/projections make up the routine radiologic examination of the hand/wrist?

Answer 4

1. Posterior Anterior (PA)
2. Lateral
3. Oblique

Question 5

What 2 sequences are included in the MRI protocol for the wrist?

Answer 5

1. Anatomy-defining sequences and fluid-sensitive sequences

2. Adds extra coronal sequence and deletes a sagittal sequence

Question 6

What 3 pathologies is MR arthrography used to visualize?

Answer 6

1. TFCC,
2. Scapholunate ligament
3. Lunotriquetral ligament tear

Question 7

What is considered the first line examination at the wrist?

Answer 7

Musculoskeletal Ultrasound (MSUS) performed in conjunction with conventional radiography

Question 8

What 4 clinical symptoms warrant MSUS examinations at the wrist?

Answer 8

1. Pain
2. Swelling
3. Joint instability
4. Presence of mass.