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What Does My MRI Scan Test Report Indicate?
Question: Hi dr. XXXXXXX i accidentally closed the discussion for some reason. But thank you for your response. I have had pain in my wrist with movement more so with movement than at rest. I have swelling on my hand as well. I'm not sure how to attach my reports on this foroum. I had earlier posted about having arthroscopic surgery to repair a tfcc tear and possiblity of having keinbocks disease
Brief Answer:
You may have Kienbock disease
Detailed Answer:
Hello,
After studying your MRI report there is n doubt that you have Kienbock disease. Your x rays also shows that there is negative ulnar variance. Which explain why you have this disease. Now I have following suggestions.
1.If your pain is very severe and you are having difficulty in day to day activities then you can go for surgery. There is a procedure called Radial shortening osteotomy. In this condition radius bone is cut to match with ulna. It cures negative variance and this leads to prevention of further damage to Lunate. It is effective in your case.
2.If pain is mild and you can tolerate this without affecting your lifestyle then you can wait and watch for some time. But I think sooner or latter you will need surgery.
At the time of surgery your doctor can also do wrist arthroscopy and debride your TFCC repair if he thinks it is needed.
I hope this answer will be useful for you.Let me know if there is any other followup questions.
thanks
You may have Kienbock disease
Detailed Answer:
Hello,
After studying your MRI report there is n doubt that you have Kienbock disease. Your x rays also shows that there is negative ulnar variance. Which explain why you have this disease. Now I have following suggestions.
1.If your pain is very severe and you are having difficulty in day to day activities then you can go for surgery. There is a procedure called Radial shortening osteotomy. In this condition radius bone is cut to match with ulna. It cures negative variance and this leads to prevention of further damage to Lunate. It is effective in your case.
2.If pain is mild and you can tolerate this without affecting your lifestyle then you can wait and watch for some time. But I think sooner or latter you will need surgery.
At the time of surgery your doctor can also do wrist arthroscopy and debride your TFCC repair if he thinks it is needed.
I hope this answer will be useful for you.Let me know if there is any other followup questions.
thanks
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Dr. Dr. Naveen Kumar Sharma
Orthopaedic Surgeon, Joint Replacement
Practicing since :2002
Answered : 4486 Questions
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