Department of Medical Imaging, The University of Arizona, College of Medicine, Tucson, Arizona.
Department of Radiology, University of New Mexico, Albuquerque, New Mexico.
Semin Musculoskelet Radiol. 2022 Jun;26(3):295-313. doi: 10.1055/s-0042-1743538. Epub 2022 Jun 2.
Common indications for surgical procedures of the wrist and hand include acute fractures or fracture-dislocations; nonunited fractures; posttraumatic, degenerative, and inflammatory arthritides and tendinopathies; injuries to tendons, ligaments, and the triangular fibrocartilage complex; and entrapment neuropathies. Soft tissue or osseous infections or masses may also need surgical treatment. Several of these procedures require surgical hardware placement, and most entail clinical follow-up with periodic imaging. Radiography should be the first imaging modality in the evaluation of the postoperative wrist and hand. Computed tomography, magnetic resonance imaging, diagnostic ultrasonography, and occasionally nuclear medicine studies may be performed to diagnose or better characterize suspected postoperative complications. To provide adequate evaluation of postoperative imaging of the wrist and hand, the interpreting radiologist must be familiar with the basic principles of these surgical procedures and both the imaging appearance of normal postoperative findings as well as the potential complications.
手部和腕部手术的常见适应证包括急性骨折或骨折脱位；骨折不愈合；创伤后、退行性和炎症性关节炎和腱鞘炎；肌腱、韧带和三角纤维软骨复合体损伤；以及神经卡压性疾病。软组织或骨感染或肿块也可能需要手术治疗。其中一些手术需要放置手术硬件，大多数需要临床随访和定期影像学检查。术后腕关节和手部的影像学评估首先应进行 X 线摄影。计算机断层扫描、磁共振成像、超声诊断和偶尔的核医学研究可用于诊断或更好地描述疑似术后并发症。为了对腕关节和手部术后影像学检查进行充分评估，解读放射科医师必须熟悉这些手术的基本原理以及正常术后表现的影像学特征以及潜在的并发症。
