Objective: The overall goal of this research is to identify completely non-invasive in vivo markers of cartilage degeneration following wrist injury in order to facilitate assessment and treatment of wrist injuries and prevention of osteoarthritis as a result of injury. In this study, the transverse relaxation time, T2, from magnetic resonance imaging (MRI) of the wrist cartilage of subjects exhibiting unilateral scapholunate dissociation was analyzed to evaluate changes in the biochemical status of the cartilage in the wrist following injury.Methods: Data collection consisted of MRI scans of the wrist using 2 separate 3T scanners. Fourteen subjects were analyzed, each subject completed scans to evaluate T2 relaxation times on both their injured and contralateral (normal) wrist. Scans were conducted with a maximum of 0.390625 mm/pixel in-plane pixel size and 1 mm slice thickness. A series of four time echo scans ranging from 15-80 ms were collected. T2 relaxation time for each subject was calculated by registering these echo time scans and fitting the corresponding intensity values to an exponential decay curve. Results:The T2 results from all subjects indicated no statistically significant changes with presence of injury. The use of two separate MRI scanners of the same strength of magnet coil did not cause a significant change in measurement values. Conclusions:Our data suggests that either T2 relaxation time does not change with the presence of scapholunate injury in the wrist or that the change was insufficient to be detected in this study. The results from this study may function as a baseline for future studies examining the potential positive effect surgical repair has on T2 relaxation times.

Hand and wrist injuries commonly occur and can be debilitating. Scapholunate dissociation generally requires surgery, and if left untreated, can lead to scapholunate advanced collapse (SLAC wrist) and associated osteoarthritis [1]. The overall goal of this research is to make a positive impact on the assessment and treatment of wrist injuries and on prevention of osteoarthritis as a result of injury.