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Doctor insights on: Mri Of Thumb

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MRI of right hand shows perforation of the triangular fibrocartilage and degenerative changes of the triquetrum pisiform joint. Surgery only option?

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

Dr. Katharine Cox
5 doctors shared insights

Mri (Definition)

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


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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?

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

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Should I do surgery of subtle volar fracture through proximal base of proximal phalanx of thumb with volary distraction of avulsed fracture fragment?

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

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Wrist & forearm stiffness little finger sits on top of ring finger after foosh. X-ray clear MRI - degenerative tear tfcc ultrasound carpal tunnel?

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

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Is 4 mm anterior bone spur at base of first metacarpal/herbal joint of Thumb a large spur?

Is 4 mm anterior bone spur at base of first metacarpal/herbal joint of Thumb a large spur?

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

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Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Mri shows bone marrow edema of pisiform, trigger thumb, mcp capsulitis and mild distension of first cmc joint capsule. What does it all mean?

Basal thumb joint OA: The base of the thumb is a very common spot for osteoarthritis. This diagnosis can usually be made without imaging studies, so if your doctor ordered an MRI scan, i suspect the doctor had some special concern or diagnosis in mind. ...Read more

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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?

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 more

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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?

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 more

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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?

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 more

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Mri of shoulder mild partial intrasubstance tearing of supra, infras and subsc tendon insertions". Tendinopathy of the intra-articular bicep tendon ?

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 more

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Symptoms of sprained wrist compared to some sort of forearm fracture?

Symptoms of sprained wrist compared to some sort of forearm fracture?

Symptoms: See where it is the most tender. If over bone could be fracture of tha distal radius or ulna. If over the wrist joint specifically more likely a sprain but wrist bone can fracture. Get an x-ray to be sure. ...Read more

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Jammed thumb some pain stiffness and swelling at joint between first metacarpal and bottom of thumb?

Jammed thumb some pain stiffness and swelling at joint between first metacarpal and bottom of thumb?

See below: Would recommend that an x-ray be done to rule out a fracture that might require more specific care than the riice mnemonic (rest, ice, ibuprofen, compression and elevation). ...Read more

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MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

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

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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?

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?

Tenosynovitis: DeQuervain's tenosynovitis can cause pain at the anatomical snuffbox, due to repetitive stress and movements causing inflammation or tenosynovitis of the sheath or tunnel that surrounds two tendons that control movement of the thumb. ...Read more

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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.

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 more

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