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Arthroscopic image of a central triangular fibrocartilage complex (TFCC) tear. X-ray: X-rays of the wrist are made in two directions: posterior-anterior (PA) and lateral. Radiographs are useful to diagnose or rule out possible bone fractures, a positive ulnar variance or osteoarthritis. The TFCC is not visible on an X-ray, regardless of its ...
Triangular fibrocartilage complex (TFCC) injury occurs in 39% to 82% of cases. Ulnar styloid process fracture increases the risk of TFCC injury by a factor of 5:1. However, it is unclear whether intercarpal ligaments and triangular fibrocartilage injuries are associated with long term pain and disability for those who are affected. [5]
Perfusion stress test (with 99mTc labelled sestamibi [15]) is appropriate for select patients, especially those with an abnormal resting electrocardiogram. Intracoronary ultrasound or angiogram can provide more information but is invasive and carries the risk of complications associated with cardiac catheterization procedures.
It is the reference standard for the assessment of cardiac structure and function, [6] and is valuable for diagnosis and surgical planning in complex congenital heart disease. [7] Combined with vasodilator stress, it has a role in detecting and characterizing myocardial ischemia due to disease affecting the epicardial vessels and microvasculature.
A physician may recommend cardiac imaging to support a diagnosis of a heart condition. Medical specialty professional organizations discourage the use of routine cardiac imaging during pre-operative assessment for patients about to undergo low or mid-risk non-cardiac surgery because the procedure carries risks and is unlikely to result in the change of a patient's management. [1]
Myocardial perfusion imaging or scanning (also referred to as MPI or MPS) is a nuclear medicine procedure that illustrates the function of the heart muscle (). [1]It evaluates many heart conditions, such as coronary artery disease (CAD), [2] hypertrophic cardiomyopathy and heart wall motion abnormalities.
To perform the test, the examiner grasps the wrist with their thumb over the scaphoid tubercle (volar aspect of the palm) in order to prevent the scaphoid from moving into its more vertically oriented position in ulnar deviation. For the test, the wrist needs to be in slight extension. The patient's wrist is then moved from ulnar to radial ...
The underlying principle is that under conditions of stress, diseased myocardium receives less blood flow than normal myocardium. MPI is one of several types of cardiac stress test . A cardiac specific radiopharmaceutical is administered, e.g., 99m Tc- tetrofosmin (Myoview, GE healthcare), 99m Tc-sestamibi (Cardiolite, Bristol-Myers Squibb) or ...