MR imaging of the metacarpophalangeal joints of the fingers: part I. Conventional MR imaging and MR arthrographic findings in cadavers.
OBJECTIVE
To demonstrate the normal anatomy of the metacarpophalangeal (MCP) joints of the fingers with magnetic resonance (MR) imaging and MR arthrography in cadavers.


METHODS
MR images of 20 MCP joints of the fingers of five fresh human cadaveric hands in the extended and flexed positions were obtained before and after arthrography. The MR appearances of all articular and periarticular structures were analyzed and compared with those seen on anatomic sections. Two readers independently graded the visibility of these structures. Interobserver agreement was tested by using the kappa statistic.


RESULTS
The main collateral ligaments could be best evaluated on the transverse images of flexed fingers. The accessory bands of the collateral ligament complex were best seen on the transverse images of extended fingers. Sagittal MR images were best for evaluating the palmar plate and the capsule. MR arthrography improved the visualization of all articular and periarticular structures. The kappa values related to conventional MR imaging findings at all sequences, 0.42-0.71, indicated moderate to substantial agreement. The kappa values for the MR arthrographic sequences, 0.59-0.74, were slightly higher than those for the nonenhanced sequences.


CONCLUSIONS
Conventional MR imaging and MR arthrography enable accurate visualization of the important anatomic structures of the MCP joints. MR arthrography enhances visualization of the intraarticular elements.
Theumann
Nicolas H
NH
Department of Radiology, Veterans Administration Medical Center, 3350 La Jolla Village Dr, San Diego, CA 92161, USA.
Pfirrmann
Christian W A
CW
Drapé
Jean-Luc
JL
Trudell
Debra J
DJ
Resnick
Donald
D
D000368:Aged; D000369:Aged, 80 and over; D001175:Arthrography / Q000379:methods*; D002102:Cadaver; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008662:Metacarpophalangeal Joint / Q000033:anatomy & histology* / Q000000981:diagnostic imaging*; D008875:Middle Aged