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Results The gold standard arthroscopic procedure diagnosed 15 peripheral 6 central TFCC tears in 22 patients. 4 scapholunate ligament tears were also identified. MRI diagnosed 16 peripheral 5 central TFCC tears in these 22 patients. MRA identified 9 central tears and 14 peripheral tears. The sensitivity in diagnosing an overall TFCC tears with MRI as well as MRA was 94.4 100%. The specificity of the MRI and MRA in diagnosing an overall TFCC tear was 100% 75% respectively. Discussion conclusions Direct MRA h