Wrist pain after injury. mr arthrogram normal. patient has pain, especially at nights, with dosiflexion, feels pops. arthroscopy?

Possibly: Sometimes radiologists miss subtle findings on MRI that you would only pick up with combining the MRI with a good physical exam. It happens all the time with shoulder mri's. Also remember that 3% chance that MRI will miss something. I would get an evaluation by an orthopedic hand surgeon.

Not just yet : Esp with neg arthrogram/mr it is doubtful to be of any benefit get consult with a good ortho/hand speclist in your area try wraping it with plastic wrap at bedtime over thr years I have seen this help many "unusual" types of extremity pain (it keep in the body heat and limbers the tissue).

Try ultrasound: Could be a tendon snapping. I would recommend a dynamic musculoskeletal ultrasound to help DX and try ot and bracing first.

An MR arthrogram OK: That is one test, but one common injury is missed for it has a negative study a sudden wrist flexion or extension injury after foosh with pain on the unar side at the ecu insertion, at the site of a tendinous/capsular avulsion. Perhaps if you are lucky an oblique will show a little punctate calcifiaction near the mid carpal joint but often this is a clinical dx. Rx splint part time etc..

Wrist Pain: There seems to be a dynamic component to the problem, so you need an exam that targets that. Without getting too fancy, a careful exam should be able to elicit a snapping tendon. If that's ruled out, the next step might be an exam under fluoro, either with or without anesthesia. In the mean time, the wrist should be immobilized. Good luck.

Physical Therapy: A good physical therapy program with special attention to range of motion may help.