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Ultrasound of the Wrist and Hand 

Ultrasound of the Wrist and Hand
Ultrasound of the Wrist and Hand

Corrie M. Yablon

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date: 25 June 2022

Chapter 122 covers US of the wrist and hand. US is gaining popularity as a useful modality for imaging wrist and hand pain, providing soft tissue resolution superior to MRI, with the additional benefits of real-time imaging, ease of comparison to the contralateral side, and dynamic imaging. US provides excellent visualization of tendons and the small joints of the hand. Peripheral nerves are easily identified and assessed with US with resolution surpassing MRI. Median nerve entrapment can be quickly and easily evaluated when carpal tunnel disease is suspected. Dynamic evaluation allows further assessment for the presence of Stener lesion, sagittal band and annular pulley injuries, and for tendon subluxation. US easily shows joint effusions, osteophytes, erosions, and synovial hypertrophy when arthritis is suspected. Soft tissue masses, such as ganglion cysts or giant cell tumor of the tendon sheath, are accurately imaged with US.

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