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MRI anatomy and injuries of the fingers

  • Musculoskeletal imaging
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Abstract

Magnetic resonance imaging (MRI) diagnosis of underlying finger pathology can be intimidating due to the presence of unique anatomy. The small size of the fingers and the unique orientation of the thumb compared to the fingers also introduce unique demands on the MRI system and the technologists performing the study. This article will review the anatomy pertinent to injuries at the fingers, provide protocol guidance, and discuss pathology encountered at the fingers. Although much of the encountered pathology in the fingers overlaps with adults, unique pathology to children will be highlighted when applicable.

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References

  1. Petchprapa CN, Waswani D (2019) MRI of the fingers: an update. AJR 213:534–548

    Article  PubMed  Google Scholar 

  2. Clavero JA, Alomar X, Monill JM et al (2002) MR imaging of ligament and tendon injuries of the fingers. Radiographics 22:237–256

    Article  PubMed  Google Scholar 

  3. Gupta P, Lenchik L, Wuertzer SD, Pacholke DA (2015) High-resolution 3-T MRI of the fingers: review of anatomy and common tendon and ligament injuries. AJR 204:W314–W323

    Article  PubMed  Google Scholar 

  4. Clavero JA, Golano P, Farinas O et al (2003) Extensor mechanism of the fingers: MR imaging-anatomic correlation. Radiographics 23:593–611

    Article  PubMed  Google Scholar 

  5. Hirschmann A, Sutter R, Schweizer A, Pfirrmann CWA (2014) MRI of the thumb: anatomy and spectrum of findings in asymptomatic volunteers. AJR 202:819–827

    Article  PubMed  Google Scholar 

  6. Bydder M, Rahal A, Fullerton GD, Bydder GM (2007) The magic angle effect: a source of artifact, determinant of image contrast, and technique for imaging. J Magn Reson Imaging 25:290–300

    Article  PubMed  Google Scholar 

  7. Dwek JR, Cardoso F, Chung CB (2009) MR imaging of overuse injuries in the skeletally immature gymnast: spectrum of soft-tissue and osseous lesions in the hand and wrist. Pediatr Radiol 39:1310–1316

    Article  PubMed  PubMed Central  Google Scholar 

  8. Singhi PK, Raju S, Somashekar V, Kumar R (2020) Avascular necrosis of metacarpal head in an amateur volleyball player: a case report. J Orthopedics Joint Surg 1:46–48

    Google Scholar 

  9. Schöffl V, Popp D, Küpper T, Schöffl I (2015) Injury trends in rock climbers: evaluation of a case series of 911 injuries between 2009 and 2012. Wilderness Environ Med 26(1):62–67

    Article  PubMed  Google Scholar 

  10. Schöffl V, Hochholzer T, Winkelmann HP, Strecker W (2003) Pulley injuries in rock climbers. Wilderness Environ Med 14(2):94–100

    Article  PubMed  Google Scholar 

  11. Miro PH, vanSonnenberg E, Sabb DM, Schöffl V (2021) Finger flexion pulley injuries in rock climbers. Wilderness Environ Med 32(2):247–258

    Article  PubMed  Google Scholar 

  12. Hochholzer T, Schöffl V (2005) Epiphyseal fractures of the finger middle joints in young sport climbers. Wilderness Environ Med 16(3):139–142

    Article  PubMed  Google Scholar 

  13. Garcia K, Jaramillo D, Rubesova E (2018) Ultrasound evaluation of stress injuries and physiological adaptations in the fingers of adolescent competitive rock climbers. Pediatr Radiol 48:366–373

    Article  PubMed  Google Scholar 

  14. Bayer T, Schöffl V, Lenhart M, Herold T (2013) Epiphyseal stress fractures of finger phalanges in adolescent climbing athletes: a 3.0-Tesla magnetic resonance imaging evaluation. Skeletal Radiol 42:1521–1525

    Article  PubMed  Google Scholar 

Download references

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Correspondence to Andrew M. Zbojniewicz.

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Zbojniewicz, A.M. MRI anatomy and injuries of the fingers. Pediatr Radiol 53, 1562–1575 (2023). https://doi.org/10.1007/s00247-023-05624-7

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  • DOI: https://doi.org/10.1007/s00247-023-05624-7

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