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MRI in the Diagnosis of Cartilage Injury in the Wrist

Andrew H. Haims1, Andrew E. Moore2,3, Mark E. Schweitzer4, William B. Morrison4, Diane Deely4, Randall W. Culp5 and Howard P. Forman1

1 Department of Radiology, Yale University School of Medicine, 333 Cedar St., PO Box 208042, New Haven, CT 06520-8042.
2 Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, 800 Howard Ave., PO Box 208071, New Haven, CT 06520-8071.
3 Present address: United States Air Force, Yokota Air Base, Japan.
4 Department of Radiology, Thomas Jefferson University Hospital, 111 S 11th St., Philadelphia, PA 19107.
5 Department of Orthopedic Surgery, Thomas Jefferson University Hospital, Philadelphia, PA 19107.



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  		Fig. 1. —41-year-old woman with full-thickness articular cartilage defects of both radius and lunate. Coronal fat-suppressed T1-weighted MR image (TR/TE, 500/14) from indirect MR arthrogram shows subtle cartilage thinning (white arrows) and marrow enhancement (black arrows) in both distal radius and lunate.

 


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  		Fig. 2. —57-year-old woman with full-thickness articular cartilage defects in lunate. Coronal fat-suppressed fast spin-echo T2-weighted MR image (TR/TEeff, 6,000/70) shows full-thickness articular cartilage loss of ulnar side of lunate (white arrows) with associated subchondral cystic changes and edema (black arrows).

 


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  		Fig. 3. —46-year-old man with Outerbridge grade 3 defects of distal radius, scaphoid, lunate, and triquetrum. Coronal 3D gradient-echo MR image (TR/TE, 58/12) shows no definite abnormality to correspond to articular cartilage defects visualized on arthroscopy.

 

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