MRI of soft tissue masses of the hand and wrist.

@article{Teh2007MRIOS,
  title={MRI of soft tissue masses of the hand and wrist.},
  author={James Teh and Gillian Whiteley},
  journal={The British journal of radiology},
  year={2007},
  volume={80 949},
  pages={
          47-63
        }
}
The vast majority of soft tissue mass lesions of the wrist and hand are benign [1, 2]. In practice, the most common lesions encountered are ganglia. The most frequently seen solid masses include giant cell tumours of tendon sheath (GCTTS), lipomas, Dupuytren’s contractures, nerve sheath tumours, glomus tumours, haemangioma/vascular malformations and synovial pathology. In general, MRI is unable to differentiate between benignity and malignancy, but in many circumstances a specific diagnosis may… 
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  • Medicine, Biology
    Journal of ultrasonography
  • 2012
TLDR
The US appearances of the most frequently encountered soft tissue masses of the wrist and hand are described, correlating the findings with MRI where appropriate and Ultrasound plays a complementary role to MRI.
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Soft-tissue lesions of the fingers are commonly found in daily clinical practice. A wide range of tumors and pseudotumors have been described in this location, and the majority of them are benign.…
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Two major MRI findings of giant cell tumor of tendon sheath (GCTTS) are the presence of uniform enhancement and/or osseous involvement and may be helpful for differential diagnosis of GCTTS among well-circumscribed lobulated soft tissue mass arising from the tendon of the hands.
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awareness of the normal anatomy and existence and common imaging presentation of these diseases, in combination with relevant clinical findings, enables the radiologist to make the correct diagnosis in most cases, thereby limiting the need for invasive procedures.
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MRI is a great assessment of the tendon and ligaments tear whether partial or complete, any associated marrow edema or bony fragment avulsion, and the extent of retraction in cases of a complete tear.
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TLDR
MRI imaging of the wrist and hand provides a wealth of information regarding the status of and the relationship of the osseous and soft tissue components, both of which are necessary to confirm the clinical diagnosis and manage the patient in the most efficient way possible.
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TLDR
Understanding available imaging modalities and imaging characteristics of hand and wrist soft tissue masses will assist in formulating a short and relevant differential diagnosis.
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TLDR
The MR imaging features of a variety of focal hand lesions presenting at this institution are reviewed and a classification into “benign”, “intermediate grade” and frankly “malignant” lesions based on MR findings are proposed.
Hand Masses.
TLDR
Pseudotumors discussed in this article are ganglion cysts, accessory muscles, and inflammatory lesions, and true tumors are described according to their tissue type: nerve sheath tumors, adipocytic tumors, so-called fibrohistiocytic tumor, pericytic tumors and vascular lesions.
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