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Rosskopf AB, Martinoli C, Sconfienza LM, et al. Sonography of tendon pathology in the hand and wrist. J Ultrason. 2021;21(87):e306-e317doi: 10.15557/JoU.2021.0052.
Rosskopf, A. B., Martinoli, C., Sconfienza, L. M., Gitto, S., Taljanovic, M. S., Picasso, R., & Klauser, A. (2021). Sonography of tendon pathology in the hand and wrist. Journal of ultrasonography, 21(87), e306-e317. https://doi.org/10.15557/JoU.2021.0052
Rosskopf, Andrea B, et al. "Sonography of tendon pathology in the hand and wrist." Journal of ultrasonography vol. 21,87 (2021): e306-e317. doi: https://doi.org/10.15557/JoU.2021.0052
Rosskopf AB, Martinoli C, Sconfienza LM, Gitto S, Taljanovic MS, Picasso R, Klauser A. Sonography of tendon pathology in the hand and wrist. J Ultrason. 2021 Nov 29;21(87):e306-e317. doi: 10.15557/JoU.2021.0052. Epub 2021 Dec 15. PMID: 34970442; PMCID: PMC8678645.
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J Ultrason. 2021 Nov 29;21(87):e306-e317. doi: 10.15557/JoU.2021.0052. Epub 2021 Dec 15.

Sonography of tendon pathology in the hand and wrist.

Journal of ultrasonography

Andrea B Rosskopf, Carlo Martinoli, Luca M Sconfienza, Salvatore Gitto, Mihra S Taljanovic, Riccardo Picasso, Andrea Klauser

Affiliations

  1. Radiology, Balgrist University Hospital, University of Zurich, Switzerland.
  2. Radiology, ARISTRA, Switzerland.
  3. Department of Health Science (DISSAL), Università di Genova, Italy.
  4. IRCCS, Ospedale Policlinico San Martino, Italy.
  5. IRCCS, Istituto Ortopedico Galeazzi, Italy.
  6. Department of Biomedical Sciences for Health, University of Milano, Italy.
  7. Department of Radiology, University of New Mexico, United States.
  8. Departments of Medical Imaging and Orthopaedic Surgery, University of Arizona, United States.
  9. Department of Radiology, Division of Rheumatology and Sports Imaging, Medical University Innsbruck, Austria.

PMID: 34970442 PMCID: PMC8678645 DOI: 10.15557/JoU.2021.0052

Abstract

Traumatic and non-traumatic tendon lesions are common at the wrist and hand. For the diagnosis, therapy management, and long-term prognosis of tendon lesions, a detailed understanding of the complex anatomy and knowledge of typical injury patterns is crucial for both radiologists and clinicians. Improvements in high-resolution ultrasound are producing high-quality images of the superficial tendinous and peritendinous structures. Thus, ultrasound is a valuable first-choice tool for visualizing traumatic, inflammatory, and degenerative conditions of the extensor and flexor tendons, particularly with the advantage of possible dynamic examination. The additional use of duplex-Doppler and power Doppler ultrasound imaging is recommended for detection of tenosynovitis in overuse injury, inflammatory disease, infection, and after traumatic conditions. In traumatic tendon injuries, knowing the precise injury zone is important for treatment decision-making. In cases of tendon rupture, the radiologist should report the tear type (i.e., complete or partial-thickness) and assess the degree of tendon retraction and associated avulsion injury, including the degree of fragment displacement. The function of intact flexor tendons may be impaired by thickening, strain, or rupture of corresponding annular pulleys. This review describes in detail the typical ultrasound imaging features of common pathologies of hand and wrist tendons, including annular pulley lesions.

© Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.

Keywords: hand; pulley injury; tendon injury; tenosynovitis; ultrasound

Conflict of interest statement

Conflict of interest Authors do not report any financial or personal connections with other persons or organizations, which might negatively affect the contents of this publication and/or claim author

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