Wang Jia-Chi, Wu Wei-Ting, Chang Ke-Vin, Chen Lan-Rong, Nakashima Yuko, Özçakar Levent
Department of Physical Medicine and Rehabilitation, Taipei Veterans General Hospital, Taipei 112201, Taiwan.
School of Medicine, National Yang Ming Chiao Tung University, Taipei 112202, Taiwan.
Diagnostics (Basel). 2021 Oct 4;11(10):1834. doi: 10.3390/diagnostics11101834.
Ultrasound has emerged as the most useful imaging tool for investigating wrist and hand disorders, with several published ultrasound protocols having demonstrated their practicality in scanning the wrist tendons and nerves. However, ligaments of the wrist are networked in a complex manner, deterring sonographers from examining them with an organized strategy. Furthermore, because of the non-parallel alignment between the radiocarpal, mid-carpal, and carpal-metacarpal joints, precise recognition of the carpal bones is challenging, although ultrasound is paramount for visualizing the wrist ligaments. In this regard, the current article for point of view aims to elaborate sonoanatomy of the carpal bones and to present a stepwise systematic approach for navigating the extrinsic and intrinsic wrist ligaments.
超声已成为用于研究手腕和手部疾病最有用的成像工具，多项已发表的超声检查方案已证明其在扫描手腕肌腱和神经方面的实用性。然而，手腕韧带以复杂的方式相互连接，这使得超声检查人员难以采用有组织的策略对其进行检查。此外，由于桡腕关节、腕中关节和腕掌关节之间的排列不平行，尽管超声对于可视化手腕韧带至关重要，但精确识别腕骨仍具有挑战性。在这方面，本文旨在阐述腕骨的超声解剖结构，并提出一种逐步系统的方法来探查手腕的外在和内在韧带。
