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Regards,
Phil
Med Help
Regards,
Phil
Med Help
My son broke his wrist and had surgery in 2004. He has a titanium plate put in his wrist to repair the bones. He has since been having significant pain, not dibiliating, but enough that he's seen a dr. and demanded an MRI because he is a computer programmer and it's becoming more and more difficult for him to work on the computer. This is the summation of the MRI report:
"Imaging was performed utilizing A G.E. 1.5T LX MRI system. The following sequences were performed: coronal T1-weighted, coronal proton density fat suppression, coronal MPGE, gradient echo, sigittal proton density fat suppression, axial proton density, axial T2, weighted fat suppression, coronal FMPIR or STIR fat suppression, axial EMPIR or STIR fat suppression, axial T2 weighted."
Findings:
MRI of the left wrist has been performed. No previous examination is available for comparison. Examination is degraded by patient motion and ferromagnetic artifact.
The distal radius is transfixed by multiple metallic screws. There is thickening of the distal radial cortex
on coronal images, the ulna has a somewhat proximal position.
there is a chronic ununited fracture the ulnar styloid process to which the TFCC is attached. The TFCC has a mildly steep orientation and is possible slight ulnar positive variation.
There is no evidence of acute fracture. There is no significant marrow edema. There is small cysts of the distal ulna.
There is prominent radial subluxation of the first metacarpal relative to the trapezium.
The lunate demonstrates mild dorsal angulation, probably not clinically significant. There is question of several small cysts of the dorsal surface of the lunate.
There is some radial angulation of the distal ulna and ulnar angulation of the distal articular surface of the radium However, deformity does not appear sufficient to qualify as Medelung deformity.
There is no evidence of disruption of the scapholunate or lunotriquetral ligament. There is possible focal fraying of the proximal surface of the TFCC on series 12 image 9.
CONCLUSION:
Examination degraded by artifact as described above.
Multiple screws through the distal radius producing partial obscuration. Old ununited radial styloid fracture to which the TFCC is attached.
* * *
My son saw his Primary care physician after the MRI who basically said that he is not a hand specialist and the report was out of his field and gave my son a Carpal Tunnel Syndrome pamphlet to read and practice the exercises as outlined. My son doesn't want to go back to the surgeon because he was not happy with the followup care and does not feel comfortable with this doctor. Should we see another specialist? Is there anything that can be done to correct the problem my son is having in his wrist?
"Imaging was performed utilizing A G.E. 1.5T LX MRI system. The following sequences were performed: coronal T1-weighted, coronal proton density fat suppression, coronal MPGE, gradient echo, sigittal proton density fat suppression, axial proton density, axial T2, weighted fat suppression, coronal FMPIR or STIR fat suppression, axial EMPIR or STIR fat suppression, axial T2 weighted."
Findings:
MRI of the left wrist has been performed. No previous examination is available for comparison. Examination is degraded by patient motion and ferromagnetic artifact.
The distal radius is transfixed by multiple metallic screws. There is thickening of the distal radial cortex
on coronal images, the ulna has a somewhat proximal position.
there is a chronic ununited fracture the ulnar styloid process to which the TFCC is attached. The TFCC has a mildly steep orientation and is possible slight ulnar positive variation.
There is no evidence of acute fracture. There is no significant marrow edema. There is small cysts of the distal ulna.
There is prominent radial subluxation of the first metacarpal relative to the trapezium.
The lunate demonstrates mild dorsal angulation, probably not clinically significant. There is question of several small cysts of the dorsal surface of the lunate.
There is some radial angulation of the distal ulna and ulnar angulation of the distal articular surface of the radium However, deformity does not appear sufficient to qualify as Medelung deformity.
There is no evidence of disruption of the scapholunate or lunotriquetral ligament. There is possible focal fraying of the proximal surface of the TFCC on series 12 image 9.
CONCLUSION:
Examination degraded by artifact as described above.
Multiple screws through the distal radius producing partial obscuration. Old ununited radial styloid fracture to which the TFCC is attached.
* * *
My son saw his Primary care physician after the MRI who basically said that he is not a hand specialist and the report was out of his field and gave my son a Carpal Tunnel Syndrome pamphlet to read and practice the exercises as outlined. My son doesn't want to go back to the surgeon because he was not happy with the followup care and does not feel comfortable with this doctor. Should we see another specialist? Is there anything that can be done to correct the problem my son is having in his wrist?
Been told that the procedure for cervical surgery is still through your mouth into your neck. Is this true? Also how can a team of doctors do reconstructive surgery on the lower spine where my bolts and rods are??? Could I have gotten calcified veins from I.V. therapy? Not that it matters. Just need to know in order to understand.
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