CT Arthrography Area of Interest There is no relevant literature to support the use of CT arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. MR Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. MRI Area of Interest Without and With IV Contrast The inclusion of postcontrast images to MRI of the wrist improves detection of tenosynovitis [43,75]. MRI Area of Interest Without IV Contrast The contrast resolution of MRI makes it ideal to assess soft tissue abnormalities in the hand and wrist. MRI of the hand or wrist without IV contrast can diagnose or confirm a multitude of tendon abnormalities including tendinopathy, tendon tear, intersection syndrome, tenosynovitis, stenosing tenosynovitis, pulley injuries, sagittal band, and palmar fibromatosis [13,43,76,77]. Radiographic Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. US Area of Interest Tendon injuries of the hand and wrist are well suited to US evaluation due to their superficial location and the ability to dynamically assess the tendons. US of the hand or wrist can diagnose or confirm a multitude of tendon abnormalities including tendinopathy, tendon tear, intersection syndrome, tenosynovitis, stenosing tenosynovitis, pulley injuries, sagittal band, and palmar fibromatosis [6,13,46,77,78]. US assists in operative and injection planning in patients with De Quervain tenosynovitis with accurate identification of an intracompartmental septum [79].
Chronic Hand and Wrist Pain. CT Arthrography Area of Interest There is no relevant literature to support the use of CT arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. MR Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. MRI Area of Interest Without and With IV Contrast The inclusion of postcontrast images to MRI of the wrist improves detection of tenosynovitis [43,75]. MRI Area of Interest Without IV Contrast The contrast resolution of MRI makes it ideal to assess soft tissue abnormalities in the hand and wrist. MRI of the hand or wrist without IV contrast can diagnose or confirm a multitude of tendon abnormalities including tendinopathy, tendon tear, intersection syndrome, tenosynovitis, stenosing tenosynovitis, pulley injuries, sagittal band, and palmar fibromatosis [13,43,76,77]. Radiographic Arthrography Area of Interest There is no relevant literature to support the use of MR arthrography in the setting of chronic hand and wrist pain with clinical concern for tendon injury, tenosynovitis, or tendon pathology. US Area of Interest Tendon injuries of the hand and wrist are well suited to US evaluation due to their superficial location and the ability to dynamically assess the tendons. US of the hand or wrist can diagnose or confirm a multitude of tendon abnormalities including tendinopathy, tendon tear, intersection syndrome, tenosynovitis, stenosing tenosynovitis, pulley injuries, sagittal band, and palmar fibromatosis [6,13,46,77,78]. US assists in operative and injection planning in patients with De Quervain tenosynovitis with accurate identification of an intracompartmental septum [79].