MRI anatomy and injuries of the fingers
1Advanced Radiology Services, Michigan State University, Grand Rapids, MI, 49525, USA. azbojniewicz@advancedrad.com.
Abstract:
Magnetic resonance imaging (MRI) diagnosis of underlying finger pathology can be intimidating due to the presence of unique anatomy. The small size of the fingers and the unique orientation of the thumb compared to the fingers also introduce unique demands on the MRI system and the technologists performing the study. This article will review the anatomy pertinent to injuries at the fingers, provide protocol guidance, and discuss pathology encountered at the fingers. Although much of the encountered pathology in the fingers overlaps with adults, unique pathology to children will be highlighted when applicable.
Insights
Magnetic resonance imaging (MRI) of the fingers presents challenges due to unique anatomy. This review covers finger anatomy, MRI protocols, and common pathologies, including pediatric-specific conditions.
Area of Science:
- Radiology
- Orthopedic Imaging
Background:
- Diagnosing finger pathology with MRI is complex due to unique anatomical structures.
- The small size and thumb's orientation pose specific challenges for MRI systems and technologists.
Purpose of the Study:
- To review pertinent anatomy for finger injuries.
- To provide magnetic resonance imaging (MRI) protocol guidance for fingers.
- To discuss common and pediatric-specific pathologies of the fingers.
Main Methods:
- Review of anatomical structures relevant to finger injuries.
- Guidance on optimized MRI scanning protocols for the hand and fingers.
- Discussion of differential diagnoses for finger pathologies.
Main Results:
- Detailed anatomical review of finger structures.
- Recommended MRI sequences and parameters for finger imaging.
- Catalog of common finger pathologies, including tenosynovitis, fractures, and tumors.
- Highlighting of pediatric-specific conditions like juvenile idiopathic arthritis.
Conclusions:
- Standardized MRI protocols can improve diagnostic accuracy for finger pathologies.
- Understanding unique anatomy and specific pathologies is crucial for effective diagnosis.
- This review serves as a guide for radiologists and technologists performing finger MRI.
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