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腕背疼痛的影像学检查

Imaging of dorsal wrist pain.

作者信息

Ng Alex W H, Chan Julianna Y S, Griffith James F, Ng Isaac S H, Tse Wing Lim, Ng Sarah S H

机构信息

Department of Imaging and Interventional Radiology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.

Kings College London, University of London, London, UK.

出版信息

Quant Imaging Med Surg. 2024 Sep 1;14(9):6945-6962. doi: 10.21037/qims-24-420. Epub 2024 Jun 13.

Abstract

Pain on the dorsal side of the wrist is a common clinical presentation, comparable to pain experienced on the ulnar and radial aspects of the wrist. The dorsal wrist region has distinct anatomical features and is associated with a wide spectrum of pathologies, including conditions affecting the bones, cartilage, ligaments, and tendons. Accurate diagnosis often depends on imaging techniques such as radiographs and ultrasound, with a growing trend towards the use of magnetic resonance imaging (MRI) for more detailed assessment of complex cases. The role of imaging in diagnosing dorsal wrist pain is expected to expand further in the future. To the best of our knowledge, there has not been a comprehensive review paper that specifically addresses the imaging findings related to dorsal wrist pain. This review aims to fill that gap by discussing the imaging characteristics of both common and uncommon pathologies that can cause dorsal wrist pain. It provides an overview of the most appropriate imaging modalities to evaluate various causes of dorsal wrist pain, highlights key imaging findings, and discusses differential diagnoses. By doing so, this review seeks to enhance the understanding and interpretation of imaging results, ultimately aiding in the accurate diagnosis and management of dorsal wrist pain. This comprehensive approach underscores the critical role of advanced imaging in contemporary clinical practice.

摘要

手腕背侧疼痛是一种常见的临床表现,与手腕尺侧和桡侧所经历的疼痛相当。手腕背侧区域具有独特的解剖特征,并且与多种病理状况相关,包括影响骨骼、软骨、韧带和肌腱的病症。准确的诊断通常依赖于诸如X光片和超声等成像技术,对于复杂病例进行更详细评估时,使用磁共振成像(MRI)的趋势也在不断增加。成像在诊断手腕背侧疼痛中的作用预计在未来会进一步扩大。据我们所知,尚未有专门论述与手腕背侧疼痛相关成像结果的全面综述文章。本综述旨在通过讨论可导致手腕背侧疼痛的常见和罕见病症的成像特征来填补这一空白。它概述了评估手腕背侧疼痛各种病因的最合适成像方式,突出了关键的成像结果,并讨论了鉴别诊断。通过这样做,本综述旨在加强对成像结果的理解和解读,最终有助于手腕背侧疼痛的准确诊断和管理。这种全面的方法强调了先进成像在当代临床实践中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeb2/11400706/f7f3601b304a/qims-14-09-6945-f1.jpg

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