Imaging Findings of the Distal Radio-Ulnar Joint in Trauma.

Traumatic lesions of the distal radio-ulnar joint (DRUJ) occur frequently in conjunction with fractures of the distal radius. They are a common cause of pain and limited range of motion after distal radial fractures. Due to the complex anatomy they are however often ignored or underappreciated. Distal radial fractures and luxations of the DRUJ often disturb the normal curvature of the radial notch and cause damage to the cartilage of this joint. The growth of the radius may be disrupted, resulting in a positive ulnar variance, and possibly give rise to complications such as ulnar abutment and motion restriction. Ulnar styloid fractures - sometimes barely visible on plain film - may give rise to symptomatic bony pseudarthrosis, dislocation and laceration of the tendon of the m. extensor carpi ulnaris and a rare posttraumatic deformity of the ulnar epiphysis. Also the possibility of lesions at the adjacent triangular fibrocartilage complex and the joint capsule should be kept in mind. This paper presents a pictorial review of the complex functional anatomy and pathologic conditions of this joint and emphasises why the DRUJ should be evaluated independently and thoroughly. The merit of each imaging modality is mentioned. A correction article relating to Fig. 2 and Fig. 27 can be found here: http://dx.doi.org/10.5334/jbr-btr.966.

Correction: Imaging Findings of the Distal Radio-Ulnar Joint in Trauma.

This article details a correction to: Mespreuve, M, Vanhoenacker, F and Verstraete, K 2015 Imaging Findings of the Distal Radio-Ulnar Joint in Trauma. Journal of the Belgian Society of Radiology, 99(1), pp. 1-20, DOI: http://dx.doi.org/10.5334/jbr-btr.846.

Lunotriquetral coalition, a normal variant that may rarely cause ulnar sided wrist pain.

Lunotriquetral coalition (LTC), the most frequent and often bilateral type of carpal coalition, is in general considered as asymptomatic. In rare cases - however - fibrocartilaginous LTC may be an uncommon cause of ulnar sided pain in the wrist due to the pseudarthrosis or a post-traumatic disruption of LTC. Two rare cases of symptomatic LTC are presented and the role of MRI is emphasized. MRI shows the pseudarthrosis and may additionally show bone marrow edema and subcortical cysts. In symptomatic cases surgical lunotriquetral fusion may be considered as treatment option.

MRI of the brain in cerebrotendinous xanthomatosis (van Bogaert-Scherer-Epstein disease).

The clinical, biochemical and magnetic resonance imaging findings of two patients with cerebrotendinous xanthomatosis are reported. This is a rare hereditary disease. Early recognition of this entity is important in view of the existing treatment possibilities. Magnetic resonance imaging findings typically include a bilateral and almost symmetrical increase of the signal intensity on the T2-weighted images in the cerebellar and periventricular cerebral white matter, the basal ganglia, the dentate nuclei and the brainstem as well as cerebellar and cerebral atrophy.

[Osteoid osteoma of the spine]. / Osteoid osteoma van de wervelzuil.

High resolution CT has become crucial to the definite diagnosis, accurate localisation and extension of benign spinal tumors. An osteoid osteoma mostly suspected by X-ray or scintigraphy, located in the axial skeleton--mainly of spongious content and with a complex anatomical structure--will be definitely more distinctly visualized on CT. Post-operative evaluation also requires CT.

Three-point arthrography of the wrist.

Three-point arthrography according to Levinsohn is a valuable technique in the evaluation of lesions of the ligaments of the wrist and in the prevention of severe sequelae.