Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Skeletal Radiology
Published in: Skeletal Radiology 12/2013

01-12-2013 | Case Report

Non-displaced distal radius fracture with fat-fluid levels in the adjacent extensor tendon sheaths on MRI

Authors: Michael McConnell, Hal Cohen, Matthew Scuderi

Published in: Skeletal Radiology | Issue 12/2013

Login to get access

Abstract

We report a rare case of fat-fluid levels in the extensor tendon sheaths of the wrist on MRI. An 18-year-old female sustained a direct injury to her left hand while playing soccer. Plain radiographs showed soft tissue swelling with no definite fracture plane appreciated on the initial review of the images. The pain and swelling were severe and an MRI was obtained to evaluate for fracture and soft tissue injury. The MRI demonstrated a cortical defect near Lister’s tubercle and multiple fat-fluid levels within the extensor tendon sheaths. This is the first reported case of fat-fluid levels within the extensor tendon sheaths on MRI, with only one previous case report of this entity on CT.
Literature
1.
Costa DN, Cavalcanti CFA, Sernik RA. Sonographic and CT findings in lipohemarthrosis. Am J Roentgenol. 2007;188(4):W389.CrossRef
2.
Le Coroller T, Parratte S, Zink JV, Argenson JL, Champsaur P. Floating fat in the wrist and in the tendon sheaths. Skelet Radiol. 2010;39(9):931–3.CrossRef
3.
Cvitanic OA, Henzie GM, Adham M. Communicating foramen between the tendon sheaths of the extensor carpi radialis brevis and extensor pollicis longus muscles: imaging of cadavers and patients. Am J Roentgenol. 2007;189(5):1190–7.CrossRef
4.
Zbrodowski A, Gajisin S, Grodecki J. Intersynovial communication between the tendon sheaths of the extensor pollicis longus and extensor carpi radialis brevis muscles. J Hand Surg Eur Vol. 1985;10(2):162–4.CrossRef
5.
De Lima JE, Kim HJ, Albertotti F, Resnick D. Intersection syndrome: MR imaging with anatomic comparison of the distal forearm. Skelet Radiol. 2004;33:627–31.CrossRef
Metadata
Title
Non-displaced distal radius fracture with fat-fluid levels in the adjacent extensor tendon sheaths on MRI
Authors
Michael McConnell
Hal Cohen
Matthew Scuderi
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 12/2013
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-013-1685-5

Other articles of this Issue 12/2013

Skeletal Radiology 12/2013 Go to the issue

Scientific Article

Radiographic evaluation of INBONE total ankle arthroplasty: a retrospective analysis of 30 cases

Scientific Article

Access routes and reported decision criteria for lumbar epidural drug injections: a systematic literature review

Test Yourself: Answer

Bisphosphonate therapy for chronic recurrent multifocal osteomyelitis

Scientific Article

Extensor retinaculum of the wrist: gross anatomical correlation with MR imaging after ultrasound-guided tenography with emphasis on anatomical features in wrist dorsiflexion responsible for tendon impingement

Review Article

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

Scientific Article

Intraosseous schwannoma in schwannomatosis