Dear colleagues, in our department we do it this way: The patient first takes a ball in his hand and lightly cups it. Now the wrist is positioned without any abduction. Since the forearm is now floating, a foam plate should be placed underneath the distal forearm to compensate. During the recording, the patient should squeeze the ball as hard as possible. The ball must provide a certain amount of resistance, otherwise there will be no significant increase of stress on the SL-ligaments and no persevering dissociation of the bones. Format 18/24 / focal distance ca. 1,05m, central ray postitioned on the SL-joint. Cool trick that I just learned: If you don't have a special expansive high tech ball - just grab an apple:

56 year old with wrist pain for the past 1 week

Hi all, here a little video I just did for my students in the Virtual MSK Fellowship. the edema pattern shows median nerve involvement, so AIN syndrome is a good DDx. the edema in the Pronator teres might be also DOMS related as a frequent gym goer. a relevant pathology of the nerve is not seen. here some resources: https://radsource.us/median-nerve-entrapment/ https://radiopaedia.org/articles/anterior-interosseous-nerve-syndrome-1 This type of detailed case analysis is exclusive to my MSK Fellowship members. They get to submit their own challenging cases and receive personalized video feedback like this, helping them master complex diagnoses and become the "Go-To MSK Expert" in their practice. Ready to join a community of dedicated radiologists and elevate your MSK skills? Book a call to learn more: www.onlinemskfellowship.com (watch or click on case study - to book the call).

for fun :)

Dear colleagues, can we consider this horizontal tear of posterior horn of medial meniscus or degenerative changes ?if not extending to superior or inferior articular surfaces.