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The development of high-resolution multifrequency linear probes has allowed ultrasound to accurately depict the normal anatomy and pathology of the wrist. The superficial nature of the anatomical structures of the wrist and hand is ideally suited to ultrasound, which offers high resolution and dynamic capabilities. The wrist is now the second commonest joint evaluated by ultrasound at our center. This is due to increasing rheumatology referral for the assessment of active inflammatory changes, synovitis and joint effusion, as well as the detection of early erosive changes. Ultrasound is inexpensive, portable, and equally effective in both the hospital and outpatient facility.

Keywords

Median Nerve Carpal Tunnel Flexor Tendon Extensor Tendon Proximal Phalanx 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Stoller DW. Magnetic Resonance Imaging in Orthopedics and Sports Medicine, 2nd ed., pp. 851–904. Philadelphia: Lippincott–Raven, 1997.Google Scholar
  2. 2.
    Last RJ. Anatomy Regional and Applied, 6th ed., pp. 78–106. New York: Churchill Livingstone, 1978.Google Scholar
  3. 3.
    Johnson D, Ellis H, eds. Wrist. In: Standring S, editor-in-chief. Gray’s Anatomy. The Anatomical Basis of Clinical Practice, 39th ed. London: Elsevier, 2005.Google Scholar
  4. 4.
    Lee JC, Healey JC. Normal sonographic anatomy of the wrist and hand. Radiographics 2005;25:1577–1590.PubMedCrossRefGoogle Scholar
  5. 5.
    Clavero JA, Alomar X, Monill JM et al. MR imaging of ligament and tendon injuries of the fingers. Radiographics 2002;22:237–256.PubMedGoogle Scholar
  6. 6.
    Chen P, Maklad N, Redwine M, Zelitt D. Dynamic high-resolution sonography of the carpal tunnel. AJR 1997;168:533–537.PubMedCrossRefGoogle Scholar
  7. 7.
    Hauger O, Chung CB, Lektrakul N et al. Pulley system in the fingers; normal anatomy and simulated lesions in cadavers at MR imaging, CT, and US with and without contrast material distention of the tendon sheath. Radiology 2000;217:201–212.PubMedGoogle Scholar
  8. 8.
    Brown RB, Fliszar E, Cotton A et al. Extrinsic and intrinsic ligaments of the wrist: Normal and pathologic anatomy at MR arthrography with three compartment enhancement. Radiographics 1998;18:667–674.PubMedGoogle Scholar
  9. 9.
    van Holsbeeck MT. Sonography of the elbow, wrist and hand. In: van Holsbeeck M, Intracaso JH, eds. Musculoskeletal Ultrasound, pp. 531–571. St. Louis: Mosby, 2001.Google Scholar
  10. 10.
    Lee D. Wrist. In: Chhem RK, Cardinal E, eds. Guidelines and Gamuts in Musculoskeletal Ultrasound, pp. 107–124. New York: Wiley-Liss, 1999.Google Scholar
  11. 11.
    Finlay K, Lee R, Friedman L. Ultrasound of intrinsic wrist ligaments and triangular fibrocartilage injuries. Skeletal Radiol 2004;33:85–90.PubMedCrossRefGoogle Scholar
  12. 12.
    Jacobson JA, Oh E, Prospeck T et al . Sonography of the scapholunate igament in four cadaveric wrists: Correlation with MR arthrography and anatomy. AJR 2002;179:523–527.PubMedCrossRefGoogle Scholar
  13. 13.
    Boutry N, Lapegue F, Masi L et al. Ultrasonographic evaluation of normal extrinsic and intrinsic carpal ligaments; preliminary experience. Skeletal Radiol 2005;34:513–521.PubMedCrossRefGoogle Scholar
  14. 14.
    Keogh CF, Wong AD, Wells NJ et al. High-resolution sonography of the triangular fibrocartilage: Initial experience and correlation with MRI and arthroscopic findings. AJR 2004;182:333–336.PubMedCrossRefGoogle Scholar
  15. 15.
    Martinoli C, Bianchi S, Nebiolo M et al. Sonographic evaluation of digital annular pulley tears. Skeletal Radiol 2000;29:387–391.PubMedCrossRefGoogle Scholar
  16. 16.
    O’Callaghan BI, Kohut G, Hoogewoud H. Gamekeeper thumb; identification of the Stener leison with US. Radiology 1994;182:477–480.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Lawrence Friedman
    • 1
  1. 1.Radiology Department, Hamilton Health Sciences–Henderson DivisionMcMaster UniversityHamiltonCanada

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