Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice

The keys to successful ultrasonography (US) of the wrist include knowledge of the relevant anatomy and understanding the biomechanical aspects. A wide spectrum of pathological findings including bone fractures (scaphoid, triquetrum) and ligament lesions (dorsal intercarpal and radiocarpal ligaments,...

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Main Authors: Philippe Meyer, Pierre-Francois Lintingre, Lionel Pesquer, Nicolas Poussange, Alain Silvestre, Benjamin Dallaudiere
Format: Article
Language:English
Published: Ubiquity Press 2018-01-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/1319
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author Philippe Meyer
Pierre-Francois Lintingre
Lionel Pesquer
Nicolas Poussange
Alain Silvestre
Benjamin Dallaudiere
author_facet Philippe Meyer
Pierre-Francois Lintingre
Lionel Pesquer
Nicolas Poussange
Alain Silvestre
Benjamin Dallaudiere
author_sort Philippe Meyer
collection DOAJ
description The keys to successful ultrasonography (US) of the wrist include knowledge of the relevant anatomy and understanding the biomechanical aspects. A wide spectrum of pathological findings including bone fractures (scaphoid, triquetrum) and ligament lesions (dorsal intercarpal and radiocarpal ligaments, scapholunate ligament) can be caused by an identical traumatic mechanism determined on the basis of the position of wrist at the time of injury. In the setting of wrist trauma, an early diagnosis can minimize the potential for inappropriate or delayed treatment. We describe a practical radiological approach by using a standardized imaging protocol: standard radiographs (four views) associated with an US examination focused on seven landmarks. If there is discordance between clinical and radiological features or if the diagnosis of a disruption of the scapholunate ligament remains uncertain, additional cross-sectional imaging (MRI or CT arthrogaphy) should be performed.
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spelling doaj.art-fab5c08971b1455bafda97dbfa308f032022-12-21T19:47:58ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812018-01-01102110.5334/jbsr.13191087Imaging of Wrist Injuries: A Standardized US Examination in Daily PracticePhilippe Meyer0Pierre-Francois Lintingre1Lionel Pesquer2Nicolas Poussange3Alain Silvestre4Benjamin Dallaudiere5MSK Imaging Department, Clinique du Sport de Bordeaux-MérignacMSK Imaging Department, Clinique du Sport de Bordeaux-MérignacMSK Imaging Department, Clinique du Sport de Bordeaux-MérignacMSK Imaging Department, Clinique du Sport de Bordeaux-MérignacMSK Imaging Department, Clinique du Sport de Bordeaux-MérignacMSK Imaging Department, Clinique du Sport de Bordeaux-MérignacThe keys to successful ultrasonography (US) of the wrist include knowledge of the relevant anatomy and understanding the biomechanical aspects. A wide spectrum of pathological findings including bone fractures (scaphoid, triquetrum) and ligament lesions (dorsal intercarpal and radiocarpal ligaments, scapholunate ligament) can be caused by an identical traumatic mechanism determined on the basis of the position of wrist at the time of injury. In the setting of wrist trauma, an early diagnosis can minimize the potential for inappropriate or delayed treatment. We describe a practical radiological approach by using a standardized imaging protocol: standard radiographs (four views) associated with an US examination focused on seven landmarks. If there is discordance between clinical and radiological features or if the diagnosis of a disruption of the scapholunate ligament remains uncertain, additional cross-sectional imaging (MRI or CT arthrogaphy) should be performed.https://www.jbsr.be/articles/1319WristTraumaUltrasonographyScaphoidLigaments
spellingShingle Philippe Meyer
Pierre-Francois Lintingre
Lionel Pesquer
Nicolas Poussange
Alain Silvestre
Benjamin Dallaudiere
Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
Journal of the Belgian Society of Radiology
Wrist
Trauma
Ultrasonography
Scaphoid
Ligaments
title Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
title_full Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
title_fullStr Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
title_full_unstemmed Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
title_short Imaging of Wrist Injuries: A Standardized US Examination in Daily Practice
title_sort imaging of wrist injuries a standardized us examination in daily practice
topic Wrist
Trauma
Ultrasonography
Scaphoid
Ligaments
url https://www.jbsr.be/articles/1319
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AT nicolaspoussange imagingofwristinjuriesastandardizedusexaminationindailypractice
AT alainsilvestre imagingofwristinjuriesastandardizedusexaminationindailypractice
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