Sonography of the hand and the wrist
Sonography of the hand and the wrist
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DOI：
10.1007/s00117-003-0961-0
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发表时间：
2003-10-01
期刊：
影响因子：
--
通讯作者：
Fasel, JHD
中科院分区：
文献类型：
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作者：
Bianchi, S;Martinoli, C;Fasel, JHD
近年来，US 作为评估肌肉骨骼疾病的有用成像工具得到了广泛传播。与其他成像方式相比，美国公认的优势是成本低、非侵入性、可以进行动态检查和准备就绪。不幸的是，超声的学习曲线很长，只有由训练有素、经验丰富的检查人员进行才能获得良好的结果。具体来说，使用最新的小型传感器可以在手指屈伸运动期间对手进行动态检查，而它们的高频（直到 15 MHz）增加了评估手和手腕的小型解剖结构以及检测细微病理变化的可能性。本文的目的是首先介绍正常的基本解剖结构和超声外观。然后介绍主要的病理情况，包括关节和肌腱疾病、异物和其他创伤性病变、卡压性神经病和扩张性病变。
In the recent years US has gained wide diffusion as a useful imaging tool in the evaluation of musculoskeletal disorders. Recognized advantages of US over the other imaging modalities are low costs, non-invasiveness, possibility to perform a dynamic examination and readiness. Unfortunately, US has along learning curve and allows good results only when performed by well-trained and experienced examiners.Specifically, utilization of the recent small transducers allows to perform dynamic examination of the hand during flexion-extension movements of the fingers, while their high frequency (till 15 MHz) have increased the possibility to evaluate small anatomic structures of the hand and wrist as well as to detect subtle pathologic changes.The purpose of this article is to present first the normal basic anatomy and US appearance. Then the main pathological conditions including joint and tendon disorders, foreign bodies and other traumatic lesions, entrapment neuropathies and expansible lesions will be presented.