Interesting that MR arthrogram done to make this diagnosis. Clinically mechanism is usually fall on to out stretched hand, will have pain on palpation over hook of hamate at volar/ulnar wrist. Plain X-ray wrist with tunnel view should visualize this fracture.
I was supposed to have an MRI arthrogram of my shoulder but I chickened out because I read bad things about the gadolinium contrast agent. Are these concerns unfounded? Will MRI without contrast suffice?
what have you heard about the contrast? I've only heard pregnant people and people with allergies to it shouldn't get it. either way, whenever I read about complications of a medical procedure, I also look up the rate of those complications occurring. it's usually a very small chance and I don't worry about it. if you think about it, every time you drive, there's a chance of getting into a car accident, but you do it anyway because you've done it so often and don't think twice about the rate of car accidents despite the consequences being potentially devastating, even fatal. I think you'll be okay after the procedure. If your doctor recommended contrast then I would do it because the contrast makes diagnosing your specific problem much easier. if you get it without contrast, there's a chance the MRI will be non-diagnostic and you will end up needing the arthrogram anyway. so save yourself a potentially wasted MRI.
Interesting that MR arthrogram done to make this diagnosis. Clinically mechanism is usually fall on to out stretched hand, will have pain on palpation over hook of hamate at volar/ulnar wrist. Plain X-ray wrist with tunnel view should visualize this fracture.
I was supposed to have an MRI arthrogram of my shoulder but I chickened out because I read bad things about the gadolinium contrast agent. Are these concerns unfounded? Will MRI without contrast suffice?
what have you heard about the contrast? I've only heard pregnant people and people with allergies to it shouldn't get it. either way, whenever I read about complications of a medical procedure, I also look up the rate of those complications occurring. it's usually a very small chance and I don't worry about it. if you think about it, every time you drive, there's a chance of getting into a car accident, but you do it anyway because you've done it so often and don't think twice about the rate of car accidents despite the consequences being potentially devastating, even fatal. I think you'll be okay after the procedure. If your doctor recommended contrast then I would do it because the contrast makes diagnosing your specific problem much easier. if you get it without contrast, there's a chance the MRI will be non-diagnostic and you will end up needing the arthrogram anyway. so save yourself a potentially wasted MRI.
What you learned about gadolinium applies to intravenous administration and to