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Related Experiment Videos

Hand and wrist sonography.

W D Middleton1, S A Teefey, M I Boyer

  • 1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.

Ultrasound Quarterly
|September 16, 2003
PubMed
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High-resolution ultrasound offers improved imaging for hand and wrist conditions. This technology is now a valuable tool for diagnosing tendon injuries, masses, and foreign bodies, complementing traditional methods.

Area of Science:

  • Musculoskeletal Imaging
  • Diagnostic Ultrasound
  • Hand and Wrist Anatomy

Background:

  • Hand and wrist pathologies are diverse, often localized, necessitating specific diagnostic approaches.
  • Ultrasound (US) has historically been attractive for hand and wrist evaluation due to its non-invasive nature and real-time imaging capabilities.
  • Previous limitations in ultrasound image quality and interpretation hindered its widespread adoption for sonography of the hand and wrist.

Purpose of the Study:

  • To highlight the advancements in ultrasound technology for hand and wrist imaging.
  • To discuss the current role and benefits of hand and wrist sonography in clinical practice.
  • To compare ultrasound with other established imaging modalities.

Main Methods:

  • Review of recent technological advancements in high-resolution transducers and signal processing for ultrasound.

Related Experiment Videos

  • Analysis of clinical applications where ultrasound demonstrates significant advantages.
  • Comparison of ultrasound findings with those from radiography, CT, MRI, and arthrography.

    • Main Results:

    • New developments have significantly enhanced ultrasound image quality and scanning flexibility.
    • Hand and wrist sonography is increasingly accepted as a complementary imaging modality.
    • Ultrasound is particularly beneficial for evaluating tendon inflammation/rupture, palpable/occult masses, and foreign bodies.
    • Median nerve assessment is feasible, with potential future applications in carpal tunnel syndrome.

    Conclusions:

    • Modern ultrasound technology has overcome previous limitations, making hand and wrist sonography a reliable diagnostic tool.
    • Ultrasound provides distinct advantages in specific clinical scenarios, including tendon pathology, mass evaluation, and foreign body detection.
    • Hand and wrist sonography is now an integral part of the diagnostic imaging armamentarium, alongside radiography, CT, MRI, and arthrography.