Ultrasonographic images of the hand in a case with early eosinophilic fasciitis

Chen, Ing-Jeng; Wang, Meiting; Chang, Ke‐Vin; Liang, Huey-Wen

doi:10.1007/s10396-018-0872-3

Cited by 6 publications

(7 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dynamic ultrasound is very useful in diagnosing and differentiating the type of tendon pathology. It is the ideal tool to confirm a subduing tendon as it observes the subluxation during ulnar and radial deviation and in flexion and extension motion [38]. The direction of subluxation and the type of sub-sheath injury being confirmed by dynamic imaging.…”

Section: Diagnosismentioning

confidence: 99%

“…Radiology may reveal avulsion of ulnar styloid, and ulnar variance in cases of the TFCC injury. High-resolution dynamic ultrasound (US) has emerged as a useful and valid tool for the diagnosis of this disorders [36][37][38].…”

Section: The Triangular Fibrocartilage Injury Of the Wristmentioning

confidence: 99%

“…Ultrasound [38] is the diagnostic tool with the highest yield as it confirms the presence of thickening of the palmar fascia and nodule formation.…”

Section: Dupuytren's Contracturementioning

confidence: 99%

See 2 more Smart Citations

Leading Wrist Injuries in a Golfing Population. Golf Swing Biomechanics a Significant Cause of Pathology

O’Brien¹

2021

Contemporary Advances in Sports Science

View full text Add to dashboard Cite

Golf participation has increased significantly over the past 50 years. Injury rates have mirrored this increase with amateur and elite golfers suffering a similar injury incidence to rugby players. The upper limb is the second most common anatomical site of injury in this population. Wrist injury and specifically the ulnar side of the leading wrist is the most prevalent. Leading wrist injuries affect the tendons, fibrocartilage, bones and neural structures that are located on the ulnar side of the wrist and hand as well as the soft tissue aponeurosis and bony and ligamentous canals that traverse the wrist joint. The most commonly injured lateral wrist structure is the Extensor Carpi Ulnaris tendon. This is particularly liable to injury due to the forces placed on it during the golf swing. Other structures on the medial side of the leading wrist associated with golf related injury and pathology include Triangular Fibro-cartilage, the hamate bone, the bony canals through which the nerves travel, as well as the flexor aponeurosis and Flexor Carpi Ulnaris tendon. Risk injury to the medial aspect of the leading wrist is increased by the newer golfing theories and techniques which endeavour to create increase golf club head speeds by storing greater energy by a phenomenon called “lag”. Lag results in greater speed as the club head releases at impact but results in injury to the medial wrist anatomical structures. Swing biomechanics, and their alteration and augmentation are a major factor in medial wrist injury. Diagnosis of these pathologies requires careful history and examination, as well as the use of radiology and electrodiagnostic medicine to confirm the pathology and degree. Treatment is targeted to the specific disability. Classical treatments are mostly employed and usually involve rest and anti-inflammatory treatments. Newer therapies such as Platelet Rich Plasma injection and Deep Oscillation therapy have proven beneficial. Splinting is often employed on return to play. Early diagnosis and cessation of the offending activity often allays the need for surgery. The rhyme that “minutes to diagnosis means weeks to recovery” is particularly apt for medial wrist golf injuries. Surgery will be required in long standing or chronic cases. Return to play, unlike many sports injuries, will require careful golf biomechanical assessment and alteration in swing dynamics. The objective of this chapter is to identify how the new biomechanical manipulation of the wrist and specifically the leading wrist has resulted in increased injuries to this anatomical structure. The type of injury, diagnosis and treatment is discussed in detail. Club head speed is generated through a combination of improved golf club equipment, golf payer fitness and manipulation of the golf club by the left wrist resulting in increased golf club lag and torque which all contribute to wrist injuries.

show abstract

Section: Diagnosismentioning

confidence: 99%

Section: The Triangular Fibrocartilage Injury Of the Wristmentioning

confidence: 99%

See 1 more Smart Citation

Leading Wrist Injuries in a Golfing Population. Golf Swing Biomechanics a Significant Cause of Pathology

O’Brien¹

2021

Contemporary Advances in Sports Science

View full text Add to dashboard Cite

show abstract

“…Использование уЗИ как самостоятельного, так и в качестве вспомогательного метода диагности-ки при эндоскопических операциях представляет высокоинформативный и доступный путь обсле-дования пациентов с патологией мягких тканей опорно-двигательного аппарата [9][10][11][12][13][14][15][16][17][18][19]. одно из главных преимуществ ультразвуковой диагности-ки -возможность дифференциальной диагно-стики кисты и солидного образования, хотя ино-гда, при преобладании плотного компонента при гипертрофии синовиальной оболочки, киста на ультрасонограмме может выглядеть как солидное новообразование [3].…”

Section: таблица/unclassified

Ultrasound Diagnostics of Synovial Cysts of the Hand and Wrist

Чуловская¹,

Егиазарян²,

Skvortsova³

et al. 2018

Traumatology and Orthopedics of Russia

View full text Add to dashboard Cite

Purpose– to evaluate the efficiency and rationale for a mandatory ultrasound examination of patients with synovial cysts of the hand and wrist joint.Material and methods. The authors performed examination and following treatment of 274 patients with synovial cysts of the hand from 2005 till 2017. The diagnostics was performed basing on clinical and medical history data, roentgenology findings, ultrasonographic data, intraoperative diagnostics and postoperative histological studies. When needed MRT was performed in 35 (12.8%) patients and CT scans in 7 (2.6%) patients. In the presence of clinical signs of lesions in the forearm nerves the examination algorithm was supplemented by electroneuromyography in 17 (6.2%) patients.Results.The ultrasound tests for examination of soft tissues tumors included were characterized by sensitivity of 97.4%, specificity — 99.1% and diagnostic efficiency — 0.96%.Conclusion. Ultrasonographic examination in cases of synovial cysts of the hand and wrist joint allows to perform topical diagnostics, to identify secondary alterations in adjacent anatomical structures and to determine the cause for secondary clinical semiology.

show abstract

“…To date, the diagnosis of TFCC lesions is still difficult even with the use of magnetic resonance imaging (MRI) [4]. Recently, high-resolution ultrasound (US) has emerged as a useful and valid tool for the diagnosis of musculoskeletal disorders [5,6,7]. Although several protocols have been published regarding US examination of the wrist [8] and nearby neural structures [9], there is limited information regarding how the TFCC can be systematically scanned.…”

Section: Introductionmentioning

confidence: 99%

Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

Chang

Mezian

et al. 2019

JCM

Self Cite

View full text Add to dashboard Cite

The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.

show abstract

Ultrasonographic images of the hand in a case with early eosinophilic fasciitis

Cited by 6 publications

References 8 publications

Leading Wrist Injuries in a Golfing Population. Golf Swing Biomechanics a Significant Cause of Pathology

Leading Wrist Injuries in a Golfing Population. Golf Swing Biomechanics a Significant Cause of Pathology

Ultrasound Diagnostics of Synovial Cysts of the Hand and Wrist

Ulnar Wrist Pain Revisited: Ultrasound Diagnosis and Guided Injection for Triangular Fibrocartilage Complex Injuries

Contact Info

Product

Resources

About