Mezian Kamal, Novotný Tomáš, Naňka Ondřej
Klinika rehabilitacniho lekarstvi 1. lekarske fakulty Univerzity Karlovy a Vseobecne fakultni nemocnice, Praha.
Ortopedicka klinika Fakulty zdravotnickych studii Univerzity J. E. Purkyne v Usti nad Labem a Krajske zdravotni, a. s. - Masarykovy nemocnice v Usti nad Labem.
Acta Chir Orthop Traumatol Cech. 2025 Aug;92(Suppl.1):21-26. doi: 10.55095/achot2025/019.
Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon rupture, and damage to adjacent structures are considered. Advanced techniques like hydrodissection in carpal tunnel syndrome are also described. Text is supplemented with anatomical notes.
超声引导下的手腕和手部干预为治疗各种病症提供了有价值的治疗选择。本文回顾了常见的操作,包括向桡腕关节、第一掌指关节、腱鞘囊肿和腱鞘内注射,以及桡骨茎突狭窄性腱鞘炎、扳机指和腕管综合征的介入治疗。针对每个解剖靶点,提供了关于探头选择、患者体位和操作技术的详细说明。强调了精确进针和适当风险管理的重要性。还考虑了诸如神经损伤、肌腱断裂和邻近结构损伤等风险。文中还描述了腕管综合征中的水分离等先进技术。文本辅以解剖学注释。