BACKGROUND Clinical and radiographic diagnoses of scaphoid fractures are often challenging at the time of injury. Patients are therefore usually reassessed which has cost implications. Various investigations exist but MRI has been suggested as effective in diagnosing these injuries early. AIM To determine whether early MRI in suspected occult scaphoid fractures is more clinically and cost eff...

a few numbers of patients admitted to the emergency department due to the lunate dislocation can cause a direct injury to the wrist ligament, which mainly occurs after wrist trauma, and often diagnosis is far from the mind. a 32 years old man due to severe pain and tenderness of the wrist started the previous day during swimming, referred to emergency department of imam reza hospital of mashhad...

Background: Fibrocytes are bone marrow-derived cells, that express both hematopoietic and stromal markers. In murine collagen-induced arthritis models circulating fibrocytes have been found to home inflamed joints enhance activity. The cell has, therefore, proposed be precursor cells for the fibroblast-like synoviocytes (FLS), which central in Rheumatoid Arthritis (RA) pathogenesis. levels furt...

INTRODUCTION The aim of this study was to investigate the magnetic resonance imaging (MRI) features of bone disease in the arthritis mutilans (AM) form of psoriatic arthritis (PsA). METHODS Twenty-eight patients with erosive PsA were enrolled (median disease duration of 14 years). Using x-rays of both hands and feet, 11 patients were classified as AM and 17 as non-AM (erosive psoriatic arthri...

Soft tissue ganglion cysts are most commonly seen around the wrist and arise from myxomatous degeneration of periarticular connective tissue. A lesion produced by mucoid cyst formation in periosteum long bones is called a “periosteal ganglion”. These found lower extremities. In this article, we present case 50-year-old female who presented with swelling dull aching pain over upper 1/3rd left le...

Clear cell sarcoma (CCS, malignant melanoma of soft parts) is a rare neoplasm accounting for 1% of all soft tissue sarcomas (1). Young adults between the ages of 20 and 40 are most commonly involved (1). CCS is intimately associated with or in a tendon, ligament, or aponeurosis. Suggestive features of diagnosis best seen on MR imaging include a mass having components not only surrounding but wi...

carpal tunnel syndrome (cts) is considered by researchers because of its high prevalence, and several studies have been done to find the causes and factors which increase the chance for the syndrome. these studies have shown relationships between this syndrome with some physical parameters like wrist dimensions, weight and systemic conditions. there is no investigation on risk factors in cts in...

Background Focal chondral lesion is a common cause of chronic wrist pain. The best treatment remains unknown. We have developed a technique of arthroscopic transplantation of an osteochondral autograft from the knee joint to the distal radius with satisfactory clinical results. Materials and Methods Between December 2006 and December 2010, four patients (average age 31 years) with posttraumatic...

Section 1 A 60-year-old previously healthy man awoke with right arm pain and numbness. Opioids resulted in modest pain relief, but over the following weeks, the pain worsened. He began dropping things and had more difficulty writing, buttoning clothing, and opening jars. Cervical MRI demonstrated mild central canal stenosis and moderate foraminal stenosis at multiple levels, worse on the left. ...

UNLABELLED Wrist stabilization is ensured by the complex of stabilizers, both static (intrinsic and extrinsic ligaments) and dynamic ones (flexor and extensor sinews of the wrist). Extrinsic carpal ligaments link both carpal rows with forearm, while the intrinsic ones connect individual carpal bones. From among intrinsic ligaments, the most significant from clinical point of view is scapholunat...