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Ultrasound of the hand
S Bianchi1, C Martinoli, D Sureda
1Département de Radiologie, Division de Radiodiagnostic et Radiologie Interventionnelle, Hôpital cantonal Universitaire de Genève, Rue Micheli-du-Crest 24, CH-1211 Geneva 14, Switzerland. stefano.bianchi@hcuge.ch
Summary
High-resolution ultrasound is a key imaging technique for evaluating superficial hand and wrist structures. This article details ultrasound findings for inflammatory, traumatic, and neoplastic conditions, aiding diagnosis alongside radiography.
Area of Science:
- Musculoskeletal Imaging
- Diagnostic Ultrasound
- Hand and Wrist Anatomy
Background:
- High-resolution transducers enable detailed evaluation of superficial body structures.
- Ultrasound is a primary imaging modality for hand and wrist assessment.
- Combined with radiography, ultrasound aids in diagnosing diverse hand and wrist disorders.
Purpose of the Study:
- To present the ultrasound appearance of various hand and wrist pathologies.
- To cover inflammatory diseases, traumatic injuries, entrapment neuropathies, and soft tissue tumors.
Main Methods:
- Utilizing high-resolution ultrasound for superficial structure evaluation.
- Correlating ultrasound findings with standard radiography.
- Discussing limitations requiring advanced imaging like CT or MRI for certain lesions.
Main Results:
- Ultrasound effectively visualizes normal anatomy and pathological changes in the hand and wrist.
- Specific ultrasound appearances are presented for inflammatory and traumatic conditions.
- Diagnostic utility extends to entrapment neuropathies and soft tissue tumors.
Conclusions:
- Ultrasound is an essential first-line imaging technique for the hand and wrist.
- The combination of ultrasound and radiography offers comprehensive diagnostic capabilities.
- Advanced imaging modalities are reserved for complex or undetected lesions.