Radial and ulnar bursae of the wrist: cadaveric investigation of regional anatomy with ultrasonographic-guided tenography and MR imaging.
OBJECTIVE
To demonstrate the anatomy of the radial and ulnar bursae of the wrist using MR and US images.


METHODS
Ultrasonographic-guided tenography of the tendon sheath of flexor pollicis longus (FPL) and the common tendon sheath of the flexor digitorum of the fifth digit (FD5) of ten cadaveric hands was performed, followed by magnetic resonance imaging and gross anatomic correlation. Patterns of communication were observed between these tendon sheaths and the radial and ulnar bursae of the wrist.


RESULTS
The tendon sheath of the FPL communicated with the radial bursa in 100% (10/10) of cases, and the tendon sheath of the FD5 communicated with the ulnar bursa in 80% (8/10). Communication of the radial and ulnar bursae was evident in 100% (10/10), and presented an "hourglass" configuration in the longitudinal plane.


CONCLUSIONS
The ulnar and radial bursae often communicate. The radial bursa communicates with the FPL tendon sheath, and the ulnar bursa may communicate with the FD5 tendon sheath.
Aguiar
Rodrigo O C
RO
Veterans Affairs Medial Center - San Diego, 3350 La Jolla Village Drive, San Diego, CA 92161, USA. aguiar.rodrigo@gmail.com
Gasparetto
Emerson L
EL
Escuissato
Dante L
DL
Marchiori
Edson
E
Trudell
Debbie J
DJ
Haghighi
Parviz
P
Resnick
Donald
D