Sonography of pathological changes in the hand
Everyday medical practice shows that most common problems within the hand result from overload, injuries and degeneration. Dorsal side pathologies such as de Quervain’s and Wartenberg’s disease, intersection syndrome or degenerative lesions of carpometacarpal joint of the thumb discussed in the p...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Sciendo
2014-03-01
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| Series: | Journal of Ultrasonography |
| Subjects: | |
| Online Access: | http://jultrason.pl/index.php/issues/volume-14-no-56/sonography-of-pathological-changes-in-the-hand?aid=230 |
| Summary: | Everyday medical practice shows that most common problems within the hand result
from overload, injuries and degeneration. Dorsal side pathologies such as de Quervain’s
and Wartenberg’s disease, intersection syndrome or degenerative lesions of carpometacarpal
joint of the thumb discussed in the paper can be accurately diagnosed and differentiated
by means of ultrasound examination. Ultrasound is similarly powerful in
detection and grading of traumatic lesions involving extensor tendons and their sagittal
bands or the flexor tendons and their pulleys. In the case of carpal tunnel syndrome
one can not only visualize the median nerve but also other structures of the tunnel that
may cause compression. Similarly ulnar nerve compression within the Guyon’s canal
can be well evaluated. In cases of nerve trauma one can precisely define the level, and
in cases of nerve discontinuity, the distance between stumps can be measured which is important in surgery planning. Often nerve trauma is a sequelae of tendon reconstruction.
In such cases scars and nerve entrapment can be depicted. Tumors within a hand
are usually benign, of which the most common are ganglia. On ultrasound examination
a connection between a ganglion and its source (usually a joint or sheath) can frequently
be defined. The relationship of tumors to nerves, tendon sheaths or vessels may suggest
their nature. Ultrasound with dynamic tissue assessment is a very valuable adjunct to
clinical examination. |
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| ISSN: | 2084-8404 2451-070X |