Sonography in wrist tendon pathology

Abstract

Wrist tendons may be affected by a variety of pathologic conditions, including those caused by trauma and overuse, inflammatory and metabolic disorders, or infection. Sonography is a very sensitive means of detecting tendinous pathology because of its spatial resolution and its comparative and dynamic capabilities. Its wide availability makes it the preferred first-line imaging modality in the case of wrist pain. This article reviews the pathologic conditions that may involve the wrist and their sonographic appearances.

Sonography of Non‐neoplastic Disorders of the Hand and Wrist Tendons

“…Rarely, systemic sclerosis may be responsible for tenosynovitis and tendon tearing. Systemic lupus erythematosus may produce tendon rupture …”

“…Complete and partial tears of the hand and wrist tendons have been reported in 1% of patients with rheumatoid arthritis, specifically in cases of advanced disease . The most common sites of tendon rupture in rheumatoid wrists are the extensor pollicis longus and extensor digiti minimi proprius tendons . Finally, subluxation‐dislocation of the extensor carpi ulnaris tendon may develop in rheumatoid patients (Figure ) …”

Variantes anatomiques du coude, du poignet, et de la main

“…Le tendon APL peut être tri-fasciculé et un cas de tendon avec cinq faisceaux a même été rapporté [41]. Le tendon EPB serait absent dans 6 % des cas [42] et deux bandelettes tendineuses seraient présentes dans 3 % des cas [43].…”

US-guided percutaneous release of the first extensor tendon compartment using a 21-gauge needle in de Quervain’s disease: a prospective study of 35 cases

“…Its frequency varies from 29 % to 81 % of cases, depending on the study [8,9,[11][12][13]. US can also detect a hyperintense Doppler signal in the retinaculum [8] and anatomical tendon variations (multi-fasciculated APL [9], bifid or absent EPB [9,14]).…”