Ultrasound-Guided Interventional Procedures of the Wrist and Hand : Anatomy, Indications, and Techniques - 27/07/16

Doi : 10.1016/j.pmr.2016.04.003

Sean W. Colio, MD ^a, Jay Smith, MD ^b,^c,^d, Adam M. Pourcho, DO ^e,^⁎
^a Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, Seattle, WA, USA
^b Departments of Physical Medicine & Rehabilitation, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA
^c Department Radiology, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA
^d Department Anatomy, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA
^e Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, 600 E. Jefferson Street, Suite 300, Seattle, WA 98112, USA

^∗Corresponding author.

Résumé

Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis.

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Keywords : Ultrasound, Wrist, Hand, Tendinopathy, Arthritis, Ganglion, Finger, Trigger finger