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Journal of Korean Society of Ultrasound in Medicine 2006 ; 25 (4) : p.159-172

Ultrasonographic Diagnoisis of the Hand and Wrist Joint
Ik Yang, M.D., Sang Hee Choi, M.D.
Department of Radiology, Kangnnam Sacredheart Hospital, Hallym University Medical Center
Ultrasonographic examination of the hand and wrist is simple and easy due to their superficial anatomy, and easy accessibility. Ultrasound is indicated to evaluate persistent pain and swelling when the radiographic examination is normal. Although their anatomy is simple, the pathologic conditions of the hand and wrist are quite diverse. Although plain radiographs, CT, arthrography, and MRI have traditionally been used to evaluate the hand and wrist, nowadays, ultrasound is now being ordered with increasing frequency to scan the hand and wrist as it is a cost-effective and accurate modality for the diagnosis of focal pathology in those areas. A high-frequency linear array transducer should be used to scan the upper extremity. Available transducers up to 12 MHz provide excellent resolution. Color and power Doppler images are useful in hyperemic changes and tumor vascularity. Sonographic panorama imaging also has the advantage of demonstrating the whole extension of the lesion and of enabling a dynamic study of the hand and wrist. This action during sonographic examination not only help to diagnosis to examiner to the anatomic structures, but also localize the pathologic process to a target organ. This chapter will describe the sonographic findings associated with the most common hand and wrist pathologic conditions.
Keyword : Hand Wrist, US Ultrasound (US)
pdf파일 : 200625_159-172.pdf
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