Skeletal Radiology

, Volume 42, Issue 12, pp 1761–1765

Non-displaced distal radius fracture with fat-fluid levels in the adjacent extensor tendon sheaths on MRI

Case Report

DOI: 10.1007/s00256-013-1685-5

Cite this article as:
McConnell, M., Cohen, H. & Scuderi, M. Skeletal Radiol (2013) 42: 1761. doi:10.1007/s00256-013-1685-5

Abstract

We report a rare case of fat-fluid levels in the extensor tendon sheaths of the wrist on MRI. An 18-year-old female sustained a direct injury to her left hand while playing soccer. Plain radiographs showed soft tissue swelling with no definite fracture plane appreciated on the initial review of the images. The pain and swelling were severe and an MRI was obtained to evaluate for fracture and soft tissue injury. The MRI demonstrated a cortical defect near Lister’s tubercle and multiple fat-fluid levels within the extensor tendon sheaths. This is the first reported case of fat-fluid levels within the extensor tendon sheaths on MRI, with only one previous case report of this entity on CT.

Keywords

WristExtensor tendonsFat-fluid levels

Copyright information

© ISS 2013

Authors and Affiliations

  1. 1.Department of RadiologySUNY Upstate Medical UniversitySyracuseUSA
  2. 2.Department of Orthopedic SurgerySUNY Upstate Medical UniversitySyracuseUSA