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Updated: Oct 18, 2025

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
Published on: January 11, 2019
[Scanning Technique in Wrist and Hand Ultrasonography]
K Mezian1, T Novotný2, J Chomiak3
1Klinika rehabilitacniho lekarstvi 1. lekarske fakulty Univerzity Karlovy a Vseobecne fakultni nemocnice v Praze.
This guide details ultrasound examination protocols for the wrist and hand, focusing on carpal tunnel and tendon evaluation. It simplifies techniques for novice sonographers to improve their learning curve in musculoskeletal ultrasound.
Area of Science:
- Musculoskeletal imaging
- Medical ultrasonography
Background:
- Musculoskeletal ultrasound (MSKUS) is crucial for diagnosing wrist and hand conditions.
- Novice sonographers face a steep learning curve with MSKUS examination techniques.
Purpose of the Study:
- To provide a standardized protocol for ultrasound examination of the wrist and hand.
- To simplify patient and probe positioning for improved learning.
Main Methods:
- Description of basic scanning planes with high-resolution ultrasound images.
- Step-by-step explanation of patient and probe positioning using schematic drawings.
- Emphasis on carpal tunnel, extensor tendons, flexor pulley system, and flexor pollicis longus.
Main Results:
- A clear, simplified technique for wrist and hand ultrasound examination.
- High-resolution images illustrating key anatomical structures and pathologies.
- Demonstration of specific protocols for carpal tunnel syndrome, De Quervain disease, and trigger finger disorder.
Conclusions:
- The described ultrasound examination technique is a valuable tool for improving the learning curve of novice musculoskeletal sonographers.
- This protocol facilitates accurate diagnosis of common wrist and hand conditions.
- Standardized MSKUS protocols enhance diagnostic consistency and accuracy.
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