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Wrist Ultrasound

Liyun Wang, Xi Xiang, Yuanjiao Tang, Yujia Yang, Li Qiu
Background: High frequency ultrasound is often used to measure the thickness of fluid in peripheral joints and bursae of healthy asymptomatic populations. Two major steps critical to this procedure are obtaining the detection rates and analyzing the relevant factors. Methods: Healthy Chinese adult volunteers with no history of arthritis, past trauma or surgery and joint pain were enrolled in this study. Ultrasonography was performed on the bilateral shoulders, elbows, wrists, metacarpophalangeal joints (MCP) 1-5, proximal interphalangeal joints (PIP) 1-5, distal interphalangeal joints (DIP) 2-5, suprapatellar knees, ankles, metatarsophalangeal joints (MTP) 1-5, subacromial and subdeltoid bursae, deep infrapatellar bursae, retrocalcaneal bursae and long biceps tendons in B mode...
September 2018: Quantitative Imaging in Medicine and Surgery
Fernanda Moreira Gomes Mehlmann, Leonardo Henrique Cunha Ferraro, Paulo César Castello Branco de Sousa, Graziella Prianti Cunha, Esthael Cristina Querido Avelar Bergamaschi, Alexandre Takeda
BACKGROUND: A patient's ability to move his/her fingers during hand surgery may be helpful to surgeons because it allows the effectiveness of the intervention evaluation and prediction of hand function in the postoperative period. The purpose of this case series is to demonstrate the efficacy of an ultrasound-guided peripheral nerve block technique to maintain the hand flexor and extensor muscles motor function and discuss the benefits of the technique for trigger finger surgery. CASE REPORT: Ten patients scheduled to undergo trigger finger surgery were selected...
October 6, 2018: Revista Brasileira de Anestesiologia
Garifallia Sakellariou, Giovanni Lombardi, Barbara Vitolo, Marta Gomarasca, Martina Faraldi, Roberto Caporali, Giuseppe Banfi, Carlomaurizio Montecucco
OBJECTIVES: We aimed to evaluate the correlation between serum calprotectin and clinical and ultrasonographic (US) variables in early-onset psoriatic arthritis (PsA) and controls with rheumatoid arthritis (RA). METHODS: In a retrospective cross-sectional study, including PsA and matched RA patients, 44 joint counts (TJC, SJC), calprotectin, ESR and CRP were measured. US of wrists and MCPs 1-5 was performed, with grey-scale (GS) and power Doppler (PD) scored 0-3 at each site, summed in a total score...
October 8, 2018: Clinical and Experimental Rheumatology
Kulveer Mankia, Maria-Antonietta D'Agostino, Richard J Wakefield, Jackie L Nam, Waqar Mahmood, Andrew J Grainger, Paul Emery
OBJECTIVES: To use high-resolution imaging to characterise palindromic rheumatism (PR) and to compare the imaging pattern observed to that seen in new-onset rheumatoid arthritis (NORA). METHODS: Ultrasound (US) assessment of synovitis, tenosynovitis and non-synovial extracapsular inflammation (ECI) was performed during and between flares in a prospective treatment-naive PR cohort. MRI of the flaring region was performed where possible. For comparison, the same US assessment was also performed in anticyclic citrullinated peptide (CCP) positive individuals with musculoskeletal symptoms (CCP+ at risk) and patients with NORA...
October 8, 2018: Annals of the Rheumatic Diseases
Nirupam Purkayastha, Frances Humby, Vidalba Rocher-Ros, Costantino Pitzalis, Stephen Kelly
No abstract text is available yet for this article.
October 8, 2018: Annals of the Rheumatic Diseases
Ellis Niemantsverdriet, Annette H M van der Helm-van Mil
Tenosynovitis is traditionally recognised at physical examination in patients with inflammatory rheumatic diseases, such as, e.g. psoriatic arthritis and (longstanding) rheumatoid arthritis (RA). The increasing use of sensitive imaging techniques (ultrasound, magnetic resonance imaging (MRI)) has recently revealed that subclinical tenosynovitis is prevalent in early RA and in patients in different phases of RA development (asymptomatic state, arthralgia, early arthritis). In this review, the recent findings on MRI-detected tenosynovitis and associations with RA development are highlighted, and an overview of the most reported inflamed tendon locations within the hand and wrist of patients in different disease phases is provided...
September 2018: Clinical and Experimental Rheumatology
Jiayuan He, Henry Luo, Jie Jia, John T W Yeow, Ning Jiang
With the ability to detect volumetric changes of contracting muscles, ultrasound (US) was a potential technique in the field of human-machine interface (HMI). Compared to the US imaging (B-mode US), the signal from a static single-element US transducer, A-mode US, was a more cost-effective and convenient way towards the real-world application, particularly the wearables. This study compared the performance of the single-channel A-mode US with single-channel surface electromyogram (sEMG) signals, one of the most popular signal modalities for wrist and finger gesture recognition...
October 1, 2018: IEEE Transactions on Bio-medical Engineering
Nathaniel Millard, Andrew DeMoss, Gary McIlvain, Joseph A Beckett, John J Jasko, Mark K Timmons
OBJECTIVES: The medial elbow is stabilized during valgus loading by the ulnar collateral ligament, the flexor pronator mass (FPM), and the radial head. Impairment of the FPM can occur as a result of repeated wrist flexion activity. The purpose of this study was to determine the effect of repeated elbow flexion exercise on medial elbow stability. METHODS: Thirty volunteers were included in this study. Ultrasound images of the medial joint space of the nondominant elbow of the participants were collected during a valgus stress test...
October 2, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Xiaohui Wang, Qingfeng Wang, Caili Zhang, Suhong Shen, Wuyin Li
Objective: To explore the effectiveness of ultrasound-guided percutaneous Herbert screw for the treatment of fresh nondisplaced carpal scaphoid fracture. Methods: Between May 2013 and August 2015, 15 patients with fresh nondisplaced carpal scaphoid fractures (Krimmer type A2) were treated with ultrasound-guided Herbert screw fixation. There were 12 males and 3 females with an average age of 33.4 years (range, 18-51 years). The causes of injury included 9 cases of falls, 3 cases of training injuries, and 3 cases of machine injuries...
August 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Nadim Jiwa, Alon Abraham, Vera Bril, Hans D Katzberg, Leif E Lovblom, Carolina Barnett, Ari Breiner
OBJECTIVE: To investigate the use of a sonographic median-to-ulnar cross-sectional area ratio (MUR) in diagnosis of carpal tunnel syndrome (CTS); and to compare the MUR with currently used sonographic parameters, and electrophysiology. METHODS: Subjects with CTS and healthy volunteers underwent ultrasound studies of the median and ulnar nerves in the wrist and forearm. Various sonographic parameters and ratios were calculated, and compared between CTS patients and controls...
August 31, 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
Maria Nethander, Liesbeth Vandenput, Anna L Eriksson, Sara Windahl, Thomas Funck-Brentano, Claes Ohlsson
Context: Observational studies indicate that serum estradiol (E2) is more strongly associated with bone mineral density (BMD) than serum testosterone (T) while both E2 and T associate with fracture risk in men. Objective: To evaluate the possible causal effect of serum E2 and T on fracture risk in men. Design, Setting, and Participants: A Mendelian Randomization (MR) approach was undertaken using individual-level data of genotypes, BMD as estimated by quantitative ultrasound of the heel (eBMD), fractures (n=17,650), and relevant covariates of 175,583 unrelated men of European origin from the UK Biobank...
September 11, 2018: Journal of Clinical Endocrinology and Metabolism
Hatim Alabsi, Thomas Goetz, Darra T Murphy
Aneurysms of the distal radial artery at the level of the wrist are rare. Most reported cases are posttraumatic, either from iatrogenic arterial puncture for radial arterial access or from a penetrating injury. Other causes include infection and connective tissue disorders. Early diagnosis is important to avoid the potential complications of thrombus formation, distal digital ischemia, and rupture. Evaluation of the radial artery is typically performed using non-invasive modalities like ultrasonography, computed tomographic angiography (CTA), and magnetic resonance angiography (MRA)...
September 13, 2018: Skeletal Radiology
Elena Bueno-Gracia, Albert Pérez-Bellmunt, Carlos López-de-Celis, Michael Shacklock, Ainhoa Salas-López, Mathias Simon, Pedro Álvarez-Díaz, José Miguel Tricás-Moreno
STUDY DESIGN: Cross-sectional study. BACKGROUND: The carpal tunnel is a clinically important fibro-osseous conduit for the median nerve and associated tendons. It is mechanically dynamic and therapeutic manual techniques that appear to move and change tunnel shape is part of clinical practice. OBJECTIVES: To measure changes in dimensions of the carpal tunnel and median nerve with manual mobilization of the carpal bones in cadavers. METHODS: A total of 20 cryopreserved upper extremities from cadaveric specimens were used in the study...
September 3, 2018: Clinical Biomechanics
Klaus Strobel, Wouter van der Bruggen, Urs Hug, Gopinath Gnanasegaran, Willm Uwe Kampen, Torsten Kuwert, Frédéric Paycha, Tim van den Wyngaert
In this review we summarize the current evidence and experience regarding the performance of SPECT/CT in the evaluation of patients with postoperative painful wrist or hand. There is a wide range of operative wrist and hand interventions due to congenital, traumatic, degenerative, or inflammatory diseases. A significant number of patients suffer from pain after operative procedures. Several imaging modalities have been used to evaluate the reason for painful postoperative wrists like standard conventional x-rays, ultrasound, CT, MRI, or bone scintigraphy...
September 2018: Seminars in Nuclear Medicine
Alexandros Mallios, William Jennings, Alessandro Costanzo, Benoit Boura, Myriam Combes
Ulnar-basilic arteriovenous fistula is an alternative option when a radiocephalic arteriovenous fistula is not feasible. We review our technique of basilic vein transposition in the upper arm for difficult to puncture forearm ulnar-basilic non-transposed arteriovenous fistulae. Technical note: Three patients were referred for forearm ulnar-basilic arteriovenous fistulae with difficult cannulation where the forearm basilic vein was left in situ (non-transposed). Surgeon performed ultrasound examination confirmed a patent arteriovenous fistula with adequate diameter and flow, draining to the basilic vein in the forearm and into the upper arm...
September 6, 2018: Journal of Vascular Access
Luís Fonseca, Luís Ribeiro, Jorge Pinheiro, Ana Guerra
Parona Space infection is a rare forearm condition. We present a case of a 55-year-old male with pain and loss of function in the distal forearm for one week, with no previous history of trauma. Additionally, he presented a history of odontogenic infection, synchronous with the onset of the symptoms in the forearm, with spontaneous resolution. The wrist ultrasound found an abscess in the Parona space that was surgically drained. The bacterial culture test was positive for Streptococcus constellatus. Oral evaluation revealed symptomatic exacerbation in the upper left second molar of chronic periodontitis...
August 31, 2018: Acta Médica Portuguesa
Yung-Tsan Wu, Ming-Jen Ke, Tsung-Yen Ho, Tsung-Ying Li, Yu-Ping Shen, Liang-Cheng Chen
OBJECTIVE: Perineural injection with 5% dextrose (D5W) is a novel strategy in the treatment of carpal tunnel syndrome (CTS). In contrast, perineural injection with corticosteroid has been used for decades for treating CTS, but possible neurotoxicity has been a major concern. No studies investigating the comparative effects have been published so far. The authors performed a prospective, randomized, double-blinded, head-to-head comparative trial to compare these two approaches for patients having mild-to-moderate CTS...
October 2018: Annals of Neurology
Åsa Engström, Angelica Forsberg
OBJECTIVES: To describe the characteristics, problems, and interventions associated with performing peripheral intravenous catheterisation (PIVC) in difficult situations when registered nurses (RNs) need support from critical care nurses (CCNs). BACKGROUND: Only a few studies have focused on PIVC problems or interventions to promote success. There is limited research on the education, knowledge, confidence, and skills of RNs associated with successful PIVCs. Design A descriptive cross-sectional survey design was used...
September 4, 2018: Journal of Clinical Nursing
Sven Weum, Louis de Weerd
Vasospastic disorders in the hand have been treated with surgical sympathectomy and recently with botulinum toxin A (BTX) injections in the palm. The purpose of this study was to evaluate if it is possible to obtain precise administration of BTX around the radial artery using a single ultrasound-guided injection. We present a novel technique using 1 single ultrasound-guided BTX injection around the radial artery to treat vasospastic symptoms. Ten patients were included in a pilot study. All patients were referred by a rheumatologist after been diagnosed with primary or secondary Raynaud...
July 2018: Plastic and Reconstructive Surgery. Global Open
Moumita Samanta, Sonali Mitra, Partha P Samui, Rakesh K Mondal, Avijit Hazra, Tapas K Sabui
OBJECTIVES: Musculoskeletal ultrasound (MSUS) has a crucial role in clinical assessment and monitoring of patients with rheumatologic diseases. Early detection of joint cartilage destruction is difficult. MSUS is a cheap, noninvasive, nonhazardous bedside tool that can be used for detection of cartilage damage. We aimed to generate normative data of joint cartilage thickness of children in our population using this tool. METHODS: Healthy children, aged between 2 and 12 years, not suffering from any joint disorders and not on any chronic medication were recruited...
August 30, 2018: International Journal of Rheumatic Diseases
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