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Finger Case Review Questions

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0:00

Can you comment on the check rainin ligamentous structures

0:03

and their importance in the report clinically?

0:06

Christine, I'll leave that one to you as the finger guru.

0:09

Thanks. So the check rain ligaments are sort

0:13

of these elastic U-shaped fibers,

0:15

and they're along the proximal attachment at the level

0:17

of the PIP joint.

0:19

And honestly, we describe them a lot when we're looking at

0:22

the anatomy, but I think they're pretty tough to identify

0:25

through imaging, even with some high resolution Mr imaging.

0:28

Sometimes the hand surgeons will talk about that

0:30

with respect to stabilization,

0:32

but I have to say it's kind of challenging

0:33

to see them on Mr.

0:35

Um, Don Steve, what do you think about that?

0:37

Oh, I, I'm glad you answered the question

0:40

because my,

0:42

my answer would've been a lot shorter and a lot vaguer.

0:45

So

0:46

This is kind of the neighborhood of them,

0:48

but you kind of need, you need the microscopy

0:50

coil to really Yeah.

0:52

Winow them out and then you can see them.

0:54

Yep. Okay. Uh, I think, uh, uh, first of all,

0:57

Christine, again, thank you.

0:58

I, I wanted to ask you one thing,

1:00

and that is at our hospitals, do we have a finger coil?

1:05

We don't have a finger coil.

1:07

We do a lot of the imaging either with microscopy,

1:09

surface coils or with the wrist coil.

1:12

So there's surface coils, not a circumferential tubular

1:16

or solenoid coil for finger.

1:19

Yeah, because I was very impressed with the resolution

1:22

of a lot of your, IM your images.

Report

Faculty

Stephen J Pomeranz, MD

Chief Medical Officer, ProScan Imaging. Founder, MRI Online

ProScan Imaging

Donald Resnick, MD

Professor Emeritus, Department of Radiology

University of California, San Diego

Christine B. Chung, MD

Professor of Radiology, Executive Vice Chair, and Director of UCSD MSK Imaging Research Lab

UC San Diego

Tags

Thumb & Finger

Musculoskeletal (MSK)

MRI