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Evaluation of Ischaemic Necrosis of Carpal Bones by Magnetic Resonance Imaging

From the Hand Surgery Unit and Department of Radiology, University of Modena, Italy

Correspondence: G. Cristiani, Clinica Ortopedica, University of Modena, Italy

Nine patients with chronic pain in the wrist were examined by M.R.I. to evaluate its accuracy in the detection of ischaemic necrosis of carpal bones. In seven patients, M.R.I. confirmed scintigraphic and radiographic signs of ischaemic necrosis. In two patients with radionuclide accumulations, M.R.I. did not confirm the diagnosis: in one, M.R.I. was totally normal and in the other it showed signs of a healing scaphoid fracture. From this limited experience, M.R.I. seems to be a sensitive imaging modality which is more specific than scintigraphy.

Journal of Hand Surgery (British and European Volume), Vol. 15, No. 2, 249-255 (1990)
DOI: 10.1016/0266-7681(90)90132-N


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