Doctor insights on:
Mri Of Thumb
MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?
Not necessarily: I don't treat imaging studies but rather the clinical symptoms. Are you having pain in the wrist at times or is the pain continuous in nature? Is this your dominant hand? Also, does your wrist lock up on you or makes painful noises? If there is limited ROM, unbearable pain, and locking of the wrist, then surgery should be considered. Otherwise, consider PT, NSAID, and intrarticular wrist shot ...Read more
Mri or magnetic resonance imaging is one of the more recently developed imaging modalities available to physicians. It uses powerful magnets to generate images. There is no ionizing radiation which is a major advantage over many other modalities. Mri is the best imaging exam that we have for most soft tissue and joint related problems. There are radiologists ...Read more
Joint and back pain and stiffness with numerous trigger points, most recent MRI of hand revealed a partial tear of the flexor pollicis longus tendon?
Arthritis: You have described an arthritis condition, of which there are many types. In addition to joint damage, many arthritides can cause tendon damage resulting in tears or ruptures. See a rheumatologist. (note "fibromyalgia" while causing tender points, does not result in tendon tears). ...Read more
Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?
See a hand surgeon: Fractures through joint surfaces are generally more problematic than those outside of joints. Depending on a number of factors, they may predispose to the onset of early arthritis in the joint if the surface is not reconstructed accurately. I would see a hand surgeon to evaluate the particulars of your case. Good luck. ...Read more
Wrist & forearm stiffness little finger sits on top of ring finger after foosh. X-ray clear MRI - degenerative tear tfcc ultrasound carpal tunnel?
Possible: A fall on outstretched arm may lead to a tear of the triangular fibrocartilage complex. It is also possible the tear predates the fall hence the term degenerative tear. It may not be possible at times to separate the differences between the two ...Read more
Thumb bone spurs: Any joint can get bone spurs. Bone spurs or osteophytes are a common feature of arthritic change in a joint. The common findings of arthritis on an X-ray are are joint space narrowing, sclerosis ( or whiter bone on X-ray), bone spurs, bone cysts . Clinically or in real life this may be seen as clicking, swelling, pain , tightness, beginning with end range of motion symptoms. ...Read more
Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?
Sarcoid lesions in marrow of humeral head and neck.Small 4 mm tear of the anterior fibers of the supraspinatus tendon.Rest of rotor cuff ok.-surgery?
How much pain : Are you having? If you are in persistent pain and cannot use your shoulder or have night pain, typically the tear would be responsible and surgery might be indicated. Most docs have to see the MRI to determine need for surgery. If you have little pain and or are using the shoulder without too much problems you probably dont need surgery. ...Read moreSee 1 more doctor answer
Injured hand. Looking palm side R hand, bruise at base of outer part of thumb & outer bottom palm part of hand. Can move thumb. Could it be ligament?
Bruising: Indicates injury and bleeding under the skin that's what the bruises Are so anything that causes a little bit of bleeding can cause bruising it could be a ligament or tendon a the bone just some capillaries or can be something called a bruise which is just basically local irritation from impact or trauma ...Read moreSee 1 more doctor answer
Extreme hand pain in palm & index finger knuckle. Mri 6 mos ago read 5 mm volar subluxation of proximal phalanx. Is that anything of concern?
Subluxation of a : Proximal phalanx at the mcl joint may be associated with an inflammatory arthritis or an injury to that joint. Typically the index an middle fingers are affected first in inflamm arthritic findings in the hand vs the little and ring. Mri is sometmes is innacurate or over read as well. A rheumatologist or hand surgeon may add insight. ...Read moreSee 1 more doctor answer
Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions". Tendinopathy of the intra-articular bicep tendon ?
Diagnosis?: Don't make the mistake of determining your treatment based on an MRI reading. If you don't already have a diagnosis that makes sense to you on an anatomic basis prior to the mri, consider a second opinion. For instance, the number of changes you describe may be because of chronic untreated instability. Learn more: http://theshouldercenter.Com/shoulder-pain.Htm. ...Read moreSee 2 more doctor answers
Interpreting the MRI report on the ankle - bony injury involving the talus primarily but also portions of posterior calcaneus. Indicative of bony cont
Contusion: bone contusion or bruise can result from injury. It does take time to heal ...Read more
Jammed thumb some pain stiffness and swelling at joint between first metacarpal and bottom of thumb?
Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more
Lateral ankle pain. MRI showed "moderate amount of fluid in flexor hallucis longus tendon sheath consistent with tenosynovitis." What does this mean?
Pain and sensitivity in the radial side of the wrist and base of thumb. Also pain in snuffbox and fingers. X-rays and MRI are normal. Why pain?
Mri shows tfcc tear ulnocarpal impaction 2mm of negative ulnar variance. Not a lot of pain should I go for the surgery?
No: if you don't have symptoms would strongly recommend against surgery. nothing to gain ...Read more
Left wrist weakness with no tingling/numbness. Pain/discomfort when wrist is rubbed at base of the thumb and when bent. Emg, X-ray and MRI are normal.
Occupational therapy: It seems that you are already seeing a neurologist and they have ruled out common neurological causes of wrist and hand pain. See an occupational therapist who may be able to help. Diagnosing such conditions can be challenging and sometimes take several months and repeated follow up. In the meanwhile pain management is recommended and various classes of different analgesics may have to be tried. ...Read moreSee 1 more doctor answer