Diagnosing Non Osseous Causes of Wrist Pain- Role of High Resolution Ultrasonography

Abstract

Being a fast, less expensive, real time dynamic study, high resolution ultrasonography has provided a better option for diagnosing soft tissue pathologies in painful wrist joint. Diagnosing the cause of painful wrist joint Purpose- is a challenge for physicians especially in soft tissue pathologies, ultrasound imaging can provide an early, real time and efcient diagnosis and help in planning of treatment accordingly whether conservative or surgical approach is needed. So this shortens the course of treatment. A hospital based descriptive study Materials and methodsdone in department of radiodiagnosis SMS hospital Jaipur. Patients with history of both traumatic and non traumatic wrist pain were selected, prior X-ray was done. Total 45 patients were scanned using high frequency linear transducer (7-10 mHz) and hockey stick transducer on canon Aplio700 machine. Diagnosis was conrmed by MRI and clinical course of patient. The data were compiled and analyzed. In our study of 40 Resultspatients, USG detected 2 patients with foreign body, 5 with tendon rupture/ dislocation, 18 with tendonitis and tenosynovitis, 12 with ganglion cyst, 4 with soft tissue mass lesion/ collection, 4 with nerve pathology, 1 with scapholunate ligament injury, 1 with TFCC tear 1 with capsule rupture as a cause of wrist pain. Ultrasound provides a quick, accurate and inexpensive diagnosis Conclusion- in soft tissue pathologies of wrist, foreign bodies, tendon pathologies