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Updated: Nov 16, 2025

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
[The ulnocarpal complex : New clinical and radiological considerations]
R Schmitt1,2, J P Grunz3, K Luetkens3
1Klinik und Poliklinik für Radiologie, Ludwig-Maximilians-Universität München, Nußbaumstraße 20, 80336, München, Deutschland. radiodiagnostics@outlook.com.
Accurate imaging of the triangular fibrocartilage complex (TFCC) requires high-resolution techniques. Anatomy-based interpretation is crucial for reliable magnetic resonance imaging (MRI) of the TFCC.
Area of Science:
- Wrist anatomy and biomechanics
- Diagnostic imaging techniques
- Musculoskeletal radiology
Background:
- The triangular fibrocartilage complex (TFCC) is a critical structure in wrist stability.
- Its complex anatomy presents challenges for imaging.
- Understanding TFCC imaging is vital for diagnosing wrist pain.
Purpose of the Study:
- To outline optimal imaging strategies for the TFCC.
- To highlight key anatomical considerations for interpretation.
- To discuss classification systems for TFCC lesions.
Main Methods:
- High-resolution magnetic resonance imaging (MRI), including contrast-enhanced MRI.
- MR and computed tomography (CT) arthrography.
- Detailed anatomical review focusing on TFCC structures.
Main Results:
- Contrast-enhanced MRI is preferred for TFCC assessment.
- Arthrographic imaging is particularly useful for the foveal lamina.
- The Palmer and Atzei classifications aid in lesion evaluation.
Conclusions:
- High-resolution imaging techniques are essential for reliable TFCC MRI.
- Anatomy-based interpretation is critical for accurate diagnosis.
- Utilizing appropriate classification systems improves reporting accuracy.
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