Frequency and spectrum of abnormalities in the bone marrow of the wrist: MR imaging findings

Faiyaz Alam, Mark E. Schweitzer, Xiao Xian Li, Jan Malat, Shadid M. Hussain

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Objective. To describe the frequency of marrow abnormalities on wrist MR imaging and the MR findings of these various abnormalities. Design and patients. Five hundred and nineteen patients were studied at 1.5 T. Two observers recorded the presence and location of avascular necrosis, occult fractures and arthritic edema [focal osteoarthritis, ulnolunate abutment, rheumatoid arthritis, septic arthritis, gouty arthritis and scapholunate advanced collapse (SLAC)]. Results and conclusion. One hundred and eighty-seven (36%) patients demonstrated marrow abnormalities in the wrist, of which 101 were diagnosed as arthritis [64 (34%) as focal osteoarthritis, 17 (9%) as ulnolunate: abutment, 15 (8%) as rheumatoid arthritis, 2 as Septic arthritis, 2 as SLAC, and 1 as gouty arthritis]. Seventy-two patients had occult fractures and in 27 patients avascular necrosis was seen. MR imaging can reveal various abnormalities in bone marrow of the wrist when findings on radiography are normal or equivocal.

Original languageEnglish (US)
Pages (from-to)312-317
Number of pages6
JournalSkeletal Radiology
Volume28
Issue number6
DOIs
Publication statusPublished - Jun 1 1999

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Keywords

  • Arthritis, wrist
  • Avascular necrosis
  • MRI, wrist
  • Marrow edema
  • Occult fracture

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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