Mezian Kamal, Ricci Vincenzo, Jačisko Jakub, Sobotová Karolína, Angerová Yvona, Naňka Ondřej, Özçakar Levent
From the Department of Rehabilitation Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic (KM, YA); Physical and Rehabilitation Medicine Unit, "Luigi Sacco" University Hospital, A.S.S.T. Fatebenefratelli-Sacco, Milan, Italy (VR); Department of Rehabilitation and Sports Medicine, Second Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic (JJ, KS); Institute of Anatomy, First Faculty of Medicine, Charles University, Prague, Czech Republic (ON); and Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ).
Am J Phys Med Rehabil. 2021 Jun 1;100(6):599-609. doi: 10.1097/PHM.0000000000001683.
Wrist/hand pain is a prevalent musculoskeletal condition with a great spectrum of etiologies (varying from overuse injuries to soft tissue tumors). Although most of the anatomical structures are quite superficial and easily evaluated during physical examination, for several reasons, the use of ultrasound imaging and guidance has gained an intriguing and paramount concern in the prompt management of relevant patients. In this aspect, the present review aims to illustrate detailed cadaveric wrist/hand anatomy to shed light into better understanding the corresponding ultrasonographic examinations/interventions in carpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, rhizarthrosis, and the radiocarpal joint arthritis. In addition, evidence from the literature supporting the rationale why ultrasound guidance is henceforth unconditional in musculoskeletal practice is also exemplified.
手腕/手部疼痛是一种常见的肌肉骨骼疾病,病因范围广泛(从过度使用损伤到软组织肿瘤)。尽管大多数解剖结构相当表浅,在体格检查时易于评估,但由于多种原因,超声成像和引导在相关患者的快速处理中已引起了极大的关注并至关重要。在这方面,本综述旨在阐述详细的尸体手腕/手部解剖结构,以更好地理解腕管综合征、扳机指、桡骨茎突狭窄性腱鞘炎、腕关节病和桡腕关节关节炎的相应超声检查/干预措施。此外,还举例说明了文献中支持超声引导在肌肉骨骼实践中不可或缺的依据。