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A precise medical history and specific symptom-oriented clinical tests of the wrist joint should always precede any radiological, computed tomography (CT) or magnetic resonance imaging (MRI) diagnostics. In many cases, specific clinical tests of the wrist joint allow at least a preliminary diagnosis, which can be supported by standard radiography using correct projections. A systematic approach is recommended covering the radiocarpal, midcarpal, ulnocarpal and distal radioulnar joints. Exact identification of the palpable anatomic landmarks is mandatory for correct application and interpretation of the various clinical tests. The results of the clinical tests in combination with radiological imaging can often detect precisely ruptures of distinct wrist joint ligaments and localized arthritis.


C K Spies, M F Langer, F Unglaub, M Mühldorfer-Fodor, L P Müller, C Ahrens, S F Schlindwein. Carpus and distal radioulnar joint : Clinical and radiological examination]. Der Unfallchirurg. 2016 Aug;119(8):673-89

PMID: 27385202

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