Mezian K, Novotný T, Chomiak J, Hrazdira L
Klinika rehabilitačního lékařství 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice v Praze.
Ortopedická klinika Fakulty zdravotnických studií Univerzity J. E. Purkyně v Ústí nad Labem a Krajské zdravotní, a. s. - Masarykovy nemocnice v Ústí nad Labem.
Acta Chir Orthop Traumatol Cech. 2021;88(4 Suppl):21-26.
This guide to ultrasound examination of the wrist and hand describes the basic scanning planes and contains corresponding high-resolution ultrasound images. The patient and probe positionings are explained in a simplified step-by-step manner using schematic drawings. This standard and simple examination technique seems to be an appropriate way to improve the learning curve of novice musculoskeletal sonographers. In wrist section, an emphasis is placed on the carpal tunnel and extensor tendons evaluation. In the hand region, the scanning of the flexor pulley system and the flexor pollicis longus is described. Key words: hand, wrist joint, ultrasound, tendons, carpal tunnel syndrome, De Quervain disease, trigger finger disorder, hand injuries, musculoskeletal, protocol.
本手腕和手部超声检查指南介绍了基本扫描平面,并包含相应的高分辨率超声图像。使用示意图以简化的分步方式解释了患者和探头的定位。这种标准且简单的检查技术似乎是提高新手肌肉骨骼超声检查人员学习曲线的合适方法。在手腕部分,重点在于腕管和伸肌腱的评估。在手部区域,描述了屈指滑车系统和拇长屈肌的扫描。关键词:手、腕关节、超声、肌腱、腕管综合征、桡骨茎突狭窄性腱鞘炎、扳机指疾病、手部损伤、肌肉骨骼、检查方案