Regional sonology of the upper limb - II: Wrist and hand
With the advent of musculoskeletal ultrasound (US), there has been a paradigm shift in the way rheumatological conditions are detected, quantified and managed. Small joints of the wrist and hand play an important role in the diagnosis and characterization of inflammatory arthritis. Successful scanni...
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| Format: | Article |
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SAGE Publishing
2018-01-01
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| Series: | Indian Journal of Rheumatology |
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| Online Access: | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=22;epage=28;aulast=Shah |
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| author | Bipin R Shah Ankit B Shah |
| author_facet | Bipin R Shah Ankit B Shah |
| author_sort | Bipin R Shah |
| collection | DOAJ |
| description | With the advent of musculoskeletal ultrasound (US), there has been a paradigm shift in the way rheumatological conditions are detected, quantified and managed. Small joints of the wrist and hand play an important role in the diagnosis and characterization of inflammatory arthritis. Successful scanning of the wrist and hand requires good scanning equipment, thorough knowledge of anatomy and scanning protocols. The dorsal recesses of the wrist, metacarpophalangeal joint, proximal interphalangeal joint and the distal interphalangeal joint are scanned to look for joint effusion, synovial hypertrophy and cortical erosions. The extensor tendons of the wrist and hand have a synovial sheath at the level of the distal radius. The flexor tendons and the median nerve along the volar aspect of the wrist pass through a fibro-osseous tunnel known as the carpal tunnel. US pathologies commonly encountered in inflammatory arthritis have been very well defined in literature, so that there is better reproducibility of the tests and reduction in the inter-observer variation. |
| format | Article |
| id | doaj-art-00ab35eab6e8443989bc23849ba06e57 |
| institution | Kabale University |
| issn | 0973-3698 0973-3701 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Indian Journal of Rheumatology |
| spelling | doaj-art-00ab35eab6e8443989bc23849ba06e572025-02-03T12:00:20ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012018-01-01135222810.4103/0973-3698.238198Regional sonology of the upper limb - II: Wrist and handBipin R ShahAnkit B ShahWith the advent of musculoskeletal ultrasound (US), there has been a paradigm shift in the way rheumatological conditions are detected, quantified and managed. Small joints of the wrist and hand play an important role in the diagnosis and characterization of inflammatory arthritis. Successful scanning of the wrist and hand requires good scanning equipment, thorough knowledge of anatomy and scanning protocols. The dorsal recesses of the wrist, metacarpophalangeal joint, proximal interphalangeal joint and the distal interphalangeal joint are scanned to look for joint effusion, synovial hypertrophy and cortical erosions. The extensor tendons of the wrist and hand have a synovial sheath at the level of the distal radius. The flexor tendons and the median nerve along the volar aspect of the wrist pass through a fibro-osseous tunnel known as the carpal tunnel. US pathologies commonly encountered in inflammatory arthritis have been very well defined in literature, so that there is better reproducibility of the tests and reduction in the inter-observer variation.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=22;epage=28;aulast=ShahEffusionerosionsmusculoskeletal ultrasoundpower dopplersynovial hypertrophy |
| spellingShingle | Bipin R Shah Ankit B Shah Regional sonology of the upper limb - II: Wrist and hand Indian Journal of Rheumatology Effusion erosions musculoskeletal ultrasound power doppler synovial hypertrophy |
| title | Regional sonology of the upper limb - II: Wrist and hand |
| title_full | Regional sonology of the upper limb - II: Wrist and hand |
| title_fullStr | Regional sonology of the upper limb - II: Wrist and hand |
| title_full_unstemmed | Regional sonology of the upper limb - II: Wrist and hand |
| title_short | Regional sonology of the upper limb - II: Wrist and hand |
| title_sort | regional sonology of the upper limb ii wrist and hand |
| topic | Effusion erosions musculoskeletal ultrasound power doppler synovial hypertrophy |
| url | http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2018;volume=13;issue=5;spage=22;epage=28;aulast=Shah |
| work_keys_str_mv | AT bipinrshah regionalsonologyoftheupperlimbiiwristandhand AT ankitbshah regionalsonologyoftheupperlimbiiwristandhand |