Proximal wrist imaging

Ligamentous injuries to the triangular fibrocartilage are often difficult to evaluate. The plain film examination along with the physical examination serves as the basis for the initial assessment of most wrist injuries. Ligamentous injuries of the wrist often present at the subacute or chronic state with the physical examination and plain films being insufficient to make a definitive diagnosis in many cases and the plain film radiographic exam being of little additional value. This paper reviews the triangular fibrocartilage complex including the underlying anatomy and biomechanics, along with its radiographic evaluation by modern imaging techniques.