Bildgebende Diagnostik des ulnaren Handgelenkschmerzes

Abstract

An exact knowledge of the value of different pictorial diagnostic techniques allows a focussed and rapid diagnosis of ulnar wrist pain. A prerequisite for the choice of the best possible method of investigation is an exact clinical examination. The basic examination involves conventional recording at both the centralised at the symptomatic levels. If there is a suspicion of occult bone lesion, finely focused, magnified graphics, CT or bone scintigraphy should be used, depending on both the problem faced and availability. For tissue or ligament lesions, stress graphics, movement studies or MRT, also with contrast media, should be used. Bone scintigraphy is a suitable method to differentiate between inflammatory tissue and/or bone changes.

Schmerzhaftes distales radioulnares Gelenk (DRUG)

“…Sie wur de von Frahm [8] und Schmitt u. Lanz [27] für die Ver let zung des DRUG über sicht lich dar ge stellt.…”

“…Die Rönt gen un ter su chung. ist die wich tigste und fürs ers te ge nü gen de Bild ge ben de Un ter su chung in Neu tral stel lung der Handge len ke [3,8,27]. Die Hal tung der Elle und die Dreh stel lung der Spei che kön nen erkannt wer den an der Pro jek ti on des Grif felfort sat zes der Elle in Be zie hung zur Pro jekti on des El len schafts und an der des Ra dius.…”