MRI Anatomy of TFCC
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- Опубліковано 7 лют 2025
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Learn how to see all the different components of the TFCC and how to find them on MRI.
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I’m PD Dr. med. Christoph Agten, an MSK radiologist and mentor. I founded the Virtual MSK Fellowship, where 200+ radiologists have mastered MSK faster than they thought possible. I’m a teleradiologist who's completed MSK fellowships in Zurich and NYU, written 40+ research papers, and published the bestselling book SPEED MSK.
This is the best anatomy video of TFCC by far I've seen over the internet. Thank you for making such complex structure into simple and understandable subject.
Hi Luan. Thank you for that comment. Means a lot♥️
yor are the best!
I am a hand surgery fellow and I appreciate alot the effort you do
Excellent. Going to watch all your videos - if they are as good as this one! Thank you so much.
(MSK fellow)
I was just diagnosed with this today of my left wrist. my doctor is referring me to an orthopedic. Great video thank you 🙏
Best of luck!
Excellent video, I as a hand surgeon find this very informative
Great to hear!
Dr Christoph fantastic video. Easy to understand. Very inforrmative. I love it🙂. Very well done.
Thank you so much for this video, this is really helpful in understanding the anatomy of the TFCC. Best video I have found so far aswell!
Hi. Thanks for the kind words. If you like this video, check out my new Masterclass Wrist MRI here ua-cam.com/video/8AL3jysZVCU/v-deo.html. Or masterclass.agten.org
Thank you
Thank you Dr. Christoph Agten.
Thanks doc, very informative , especially about the positional variation in appearence of the TFC, Short and sweet .
Glad you liked it!
Thanks for this video, makes it easy to understand the different structures gathered in this little tfcc-space. Most helpful for me was the point about pro/supination - since i took care about this, i (hopefully) decreased my false positive reports..
Thx Lou. I've got a wrist masterclass coming up soon. So make sure to subscribe to the channel. I also have a patron exclusive wrist anatomy video nearly 1h, in my Patreon page. Cheers, Chris
thanks for the well made video
very thorough while easy to understand !
Glad you enjoyed it!
Sir it is so comprehensive. Thank you
So nice of you
excellent explanation Dr Agten
Well explained.🎉
Thank you
Thx!!
So cool to see this alongside my MRI images
Very thorough and helpful!
Glad it was helpful!
Thank you very much sir.... very informative video
Wooow, what a great video. Thanks for the teaching. It is really useful.
-regards from a Radiologist from Sri Lanka
Thanks for the feedback! Please share it work your colleagues :-)
Sure, I will!
Short n concise. Thanks
Excellent video.thank you so much🙏💐
How can it be so awesome! huge thanks, sir!
Thank you
Great job explaining thank you -fellow radiologist
Thank you, Dr.Agten! It was very informative for me.
Thanks for the feedback!
The topic is made so simple ! Thank you
you are welcome :)
Amazing work. Keep it up thanks
Many thanks for this video, very informative. In second 5:19 you are saying this is the dorsal radioulnar ligament but isn't that the volar side?
Excellent.thank you
Can you post which sequences, planes and slice thicknesses you use? Thank you
If there is fluid in the recesses u mentioned , needs to be mentioned in report. Is it significant?
No, this are just to realize it's not a ganglion cyst but I don't mention fluid in recesses
Amazing work...... Prima !
Very very helpful video. Thank you for taking the time to teach. May i know the brand, model and strength of the mri machine used to acquire these images?
dont know, i use images from many scanners
Great video. Thanks so much.
cool. if you want more of this, check out my masterclass.agten.org
Thank you, very much; It was very informative for me.
Dear Sameh, thx for the feedback!
Great vid!
thanks so much
Very very amazing and intresting
Great video of TFCC . Now subscribed
Thank you!
MRI Report:
1. Ulnocarpal Disc (Discus ulnocarpalis):
Firmly attached in all directions, with a slightly heterogeneous internal signal at the attachment of the ulnar styloid process.
Differential diagnosis (DD): Possibly post-traumatic changes or early degenerative alterations.
2. Extensor and Flexor Tendons:
Hypointense signal throughout their course, with no signs of inflammation.
Clinical Condition:
I have chronic pain on the ulnar side of my wrist and hand, extending toward my little finger.
Writing and typing are painful for me.
Fine movements, like playing with my beard, also cause pain.
My wrist appears to be stable from what I can observe.
Supination and pronation, hurt me a little. Not so much that it's unbearable, but on a scale from 0 to 10 its 4)
I don't feel tingling or numbness, so I think it's not a peripheral nerve issue.
But I've had pain in other parts of my body before that had no physical cause, likely due to psychological factors.
Question: "MRI reports, as far as I know, are not very accurate when it comes to TFCC. Now, I want to know, based on what is written in my MRI report, can it be said whether I have a tear in my TFCC, or is it just a small heterogeneous signal indicating that it is not a major, significant injury but something that can be stabilized through physiotherapy? Can a definitive answer to my question be given based on my clinical examination and MRI report without arthroscopy?"
Should I necessarily undergo arthroscopy, or can it be improved with exercises?
even though the MRI report does not mention a tear in the TFCC, is it still possible that there are undetected tears in that area?
Additional Information:
I've had this pain for about two years.
I have tried treatments like PRP injections and immobilization, but they have not helped.
I hope my dr has this knowledge
Awesome video!
Thanks a lot!
love the swiss accent! feeling home again. :P Grüess vomne Student in Ängland!
Bi öi in england :)
@@DrChristophAgten ah wo de? in London? I studiere in Maidstone Osteopathie :D
@@slocher2760 Nottingham ;)
Thank you so much!
Thank you. 👍
Glad you like it!
Good one!
is focused shockwave can help for tfcc ? thanks
My ulna tip is broken for 15 years and i feel like my wrist is displaced. I have serious pain durüng some movements and a major mobility/strength problem. Is there any exerclse to fix the pain?
How long does a sprain in the tfcc heal?
Thanks
🙏
Please tell me the thickness of the MR images.
Hey Doc, If a MRI mentions an impression does it mean that the radiologist found pathology such as a tear or some kind of tear ? Can a MRI report ever mention "nothing was wrong". Hope i was clear. Thank you
Sure. MRI scan can be completely normal. Impression is just the summary of relevant findings
@@DrChristophAgten Thanks for the reply, so if my MRI findings are 'thinning of the central disc without final defect, findings can be seen under ulnar abutment syndrome' would that be a normal impression? Or not a normal impression? Please answer that for me. Thanks
❤
Sir would you plz suggest books fir basic msk radiology?
I don't read books😂😉
Tfcc can heal without surgery how long to take heal it own self?
thank you!!!!
Vielen Dank sagt ein Kollege aus der Handchirurgie
gerne :) - bin immer froh um feedback von der klinischen Seite! können gerne auch was zusammen machen wenn du lust hast!
Thump up .
thx
Is meniscus homologue vascular?
No, no fibrocartilage is vascularized
believe I have a TFCC. It hurts right under the pinkie like the TFCC do. It only hurts when I fully extend/stretch it vertically and horizontally. Do u think that means it's a self-fix or should I see a doctor. It have been hurting the same for 3 weeks now. I tiny but improvement I would say.
Any updates?
impressive
Thanks aaron
I hope the subtitles can be posted on the introduction.😘
Hi, i m Asad from pakistan. I need help regarding the same issue but little bit different. I broke my ulna and radius in gymnastic, afterwards a surgery was done in which plates were placed with bone grafting on both bones. After that, my pronation was restricted totally. I did mainy exercises but nothing happend. I checked this problem to my doctor and ge said my ulna is longer than radius due which my pronation is stopped and with same time the TFCC is damaged and i also feels pain in wrist. Please guide and help me. I can also send my MRI image.
Hi Asad, sorry to hear that. I cannot comment on the treatment aspect here. However, if you want a second opinion on your MRI, contact me (email in ABOUT of my channel).
thank you
Hi Asad, Sushil here. Same problem this side. I broke my radius and Ulna in a bike accident on July 17th and post surgery(plates on both the bones), I cannot supinate. My pronation is around 70% and my ulna bone pains when i try to rotate more and seems like a blockage. What was the diagnosis for you? And how are you now?
kindly increase the volume, i could not hear despite highest volume.
k, thanks, It should be better in my newer videos
Huels Run
Please, translate on russian.....
i do not speak russian sorry :/
So bad.
My english is very bad. And i have some problem when i translate videos.
It difficult for me.
I hope, you understand my english)))
Tell me please, what is you specialized?
Surgery, X-ray?
@@АнтонЯковлев-н8ж MSK Radiology
Your voice is too low and U need to repeat name of fine strctures more than once ..thnx
Thank you so much 🙂