Colio Sean W, Smith Jay, Pourcho Adam M
Department of Physical Medicine and Rehabilitation, Swedish Spine, Sports, and Musculoskeletal Center, Swedish Medical Group, Seattle, WA, USA.
Departments of Physical Medicine & Rehabilitation, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA; Department Radiology, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA; Department Anatomy, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN, USA.
Phys Med Rehabil Clin N Am. 2016 Aug;27(3):589-605. doi: 10.1016/j.pmr.2016.04.003. Epub 2016 Jun 6.
Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis.
急性和慢性手腕及手部疾病在神经肌肉和肌肉骨骼专科中较为常见。高频诊断超声（US）推动了手腕和手部疾病诊断及介入治疗的进展。超声具有出色的软组织分辨率、可及性、便携性、无电离辐射，以及动态评估疾病和精确引导介入操作的能力。本文回顾了手腕和手部常见疾病的相关解剖结构、适应证及介入技术，包括桡腕关节关节炎、舟月三角关节关节炎、第一掌腕关节关节炎、指关节关节炎、第一背侧腱鞘滑膜炎、腱鞘囊肿和狭窄性腱鞘炎。
