MRI report of my wrists | Arthritis Information

Well... I am guessing they are not good, good. As I have some small erosions going on. I figured as much.

My RD said she would go over them with me on my next visit, in July.

I do not now what 3/4th of the words on the report mean, so I would not know if it was good or bad.

But here is what they said:

Left Wrist:

Findings:

There is an erosion seen within the wrist of the scaphiod with low T1 and midly bright STIR signal. There mild osteitis noted. The remaining carpal bones demonstrate no signicant erosive change. However, there is carpal synovitis. There is also synnovitis seen at the metacarpophalangeal joints.

Impression:

Synovitis seen of the metacarpophalangeal joints and winthin the wrist with an erosion in the scaphoid with mild osteitis suggesting inflammatory changes.

Right wrist:

Findings:

No active marginal erosions are noted in the carpus with tiny erosion seen at the second and third metacarpal head along the radial margin. No osteitis seen. However, there is prominent synovitis in the wrist and at the metacarpophalangeal joints.

Impressions:

Synovitis seen at the metacarpophalangeal joints and the wrist with small erosion at the second and third metacarpal head.

joonie2009-06-15 17:08:01basically they are saying that you have a lot of inflammation but mild damage. Left wrist is worse the the right. The Scaphoid is the wrist bone that essentially connects to

the radius (thumb side arm bone). Its right above the boney knob you feel below the thumb. The reports could be much worse considering how long you have had active inflammtion

Ok that just confuses me. Because my right wrist is what hurts all the time and I fractured years and years ago. I cannot bend my right wrist, not even when I was younger after I broke it. My left wrist I never seem to have a problem with. So, it is just confuses me of it saying that my left is worst than my right. I never felt like my left wrist was ever a problem or even being affected by the ole RA much.Osteitis - inflammation of the bone

Nice! NOT!

Well... now the highlighted in red will result into a question for my RD next visit. Seems I have been shown all of that on my nuclear bone scan. Yep I clearly recall uptake in sacroiliac joints being mentioned and uptake in my spine as well.

Osteitis: Osteitis is inflammation of the bone.

For example, patients with what is called the SAPHO syndrome develop osteitis -- the O in SAPHO stands for oteitis -- and the bone inflammation typically affects the sacroiliac joints (sacroiliitis) and the spine (spondylitis). This leads to pain and stiffness in the back and neck.

More research to do to depress me even more.
[QUOTE=buckeye]basically they are saying that you have a lot of inflammation but mild damage. Left wrist is worse the the right. The Scaphoid is the wrist bone that essentially connects to
the radius (thumb side arm bone). Its right above the boney knob you feel below the thumb. The reports could be much worse considering how long you have had active inflammtion
[/QUOTE]

Thanks for the reply and answers buckeye. They were greatly appreciated. [QUOTE=Maz-aust]I agree -- please don't get too discouraged by some labs, they can change from day to day. and the bone inflammation typically affects the sacroiliac joints (sacroiliitis) and the spine (spondylitis). This leads to pain and stiffness in the back and neck.[/quote]

OK, so osteitis is one aspect of Sapho syndrome, but do you have the other symptoms? Call your rheumatologist and discuss these findings. Save the wear and tear of online searching and the resultant depression you mention for something worth the worry.

I certainly understand the concern r/t abnormal test results, but find my physician(s) to be the best source of adequate and accurate information.

Best wishes, Shug

Hi Shug! How are you? I hope you are starting to feel better and well on the mend.

I did not mean I thought I had SAPHO syndrome, I meant that maybe my sacroliliac joints & spine bones are inflammed as well, like my wrist bones are. The nuclear bone scan was done December 2007, so I am sure it is way out of date by now. The MRIs of my wrists were done June 2, 2009. The nuclear bone scan did help me to realize when my sacroliliac joints have inflammation going on.

My sacroliliac joints have been bothering me alot lately the last month or so. It is bad when I gel. I can feel the swelling. And the inflammation in those joints cause a lot of pain and limit me greatly. PLUS, helps to cause lower back spasms.

Just wanted to clear that all up.