PURPOSE: Arterial variations of the upper limb may bear high importance for many clinical procedures, including the use of flaps in plastic surgery. We present a feasible way for visualization and confirmation of presence of these variations. METHODS: All variations were detected by ultrasonography and confirmed by Color Doppler Imaging. Proper documentation was taken in order to present our findings. RESULTS: We report a case of a 19-year-old female who showed two concomitant arterial variations of the forearm and the hand bilaterally. These two variations were the persistent median artery and the superficial dorsal branch of the radial artery which both significantly contributed to the blood supply of the hand. All examinations were performed by the same investigator and all findings were reviewed by an experienced sonographist. CONCLUSION: An unusual arrangement of the arterial system can be easily detected. We present a feasible way to prevent iatrogenic injuries and increase utilization of anatomical variants knowledge in surgery by using ultrasound prior to planning surgical procedures.
- MeSH
- Radial Artery * diagnostic imaging surgery MeSH
- Surgical Flaps blood supply MeSH
- Humans MeSH
- Young Adult MeSH
- Arm MeSH
- Hand diagnostic imaging blood supply MeSH
- Wrist * diagnostic imaging surgery MeSH
- Check Tag
- Humans MeSH
- Young Adult MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
ABSTRACT: In this dynamic protocol, ultrasound evaluation of the wrist and hand is described using various maneuvers for relevant conditions. Scanning videos are coupled with real-time patient examination videos. The authors believe that this practical guide-prepared by the international consensus of several experts-will help musculoskeletal physicians perform a better and uniform/standard examination approach.
- MeSH
- Humans MeSH
- Musculoskeletal Diseases * diagnostic imaging MeSH
- Musculoskeletal System * diagnostic imaging MeSH
- Physical and Rehabilitation Medicine * MeSH
- Hand diagnostic imaging MeSH
- Ultrasonography MeSH
- Wrist diagnostic imaging MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
This guide to ultrasound examination of the wrist and hand describes the basic scanning planes and contains corresponding high-resolution ultrasound images. The patient and probe positionings are explained in a simplified step-by-step manner using schematic drawings. This standard and simple examination technique seems to be an appropriate way to improve the learning curve of novice musculoskeletal sonographers. In wrist section, an emphasis is placed on the carpal tunnel and extensor tendons evaluation. In the hand region, the scanning of the flexor pulley system and the flexor pollicis longus is described. Key words: hand, wrist joint, ultrasound, tendons, carpal tunnel syndrome, De Quervain disease, trigger finger disorder, hand injuries, musculoskeletal, protocol.
- MeSH
- Humans MeSH
- Hand diagnostic imaging MeSH
- Tendons diagnostic imaging MeSH
- Ultrasonography MeSH
- Wrist * diagnostic imaging MeSH
- Wrist Joint * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
ABSTRACT: Wrist/hand pain is a prevalent musculoskeletal condition with a great spectrum of etiologies (varying from overuse injuries to soft tissue tumors). Although most of the anatomical structures are quite superficial and easily evaluated during physical examination, for several reasons, the use of ultrasound imaging and guidance has gained an intriguing and paramount concern in the prompt management of relevant patients. In this aspect, the present review aims to illustrate detailed cadaveric wrist/hand anatomy to shed light into better understanding the corresponding ultrasonographic examinations/interventions in carpal tunnel syndrome, trigger finger, de Quervain tenosynovitis, rhizarthrosis, and the radiocarpal joint arthritis. In addition, evidence from the literature supporting the rationale why ultrasound guidance is henceforth unconditional in musculoskeletal practice is also exemplified.
- MeSH
- Ultrasonography, Interventional * MeSH
- Humans MeSH
- Cadaver MeSH
- Musculoskeletal Pain diagnostic imaging therapy MeSH
- Musculoskeletal Diseases diagnostic imaging therapy MeSH
- Hand anatomy & histology diagnostic imaging MeSH
- Ultrasonography * MeSH
- Wrist anatomy & histology diagnostic imaging MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Review MeSH
- Keywords
- laloková plastika,
- MeSH
- Achilles Tendon surgery pathology MeSH
- Leg surgery diagnostic imaging pathology MeSH
- Surgical Flaps * surgery adverse effects MeSH
- Lower Extremity anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Femur surgery diagnostic imaging pathology injuries MeSH
- Fractures, Bone surgery diagnostic imaging pathology MeSH
- Upper Extremity anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Humerus anatomy & histology surgery diagnostic imaging blood supply MeSH
- Clavicle surgery MeSH
- Extremities anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Muscle, Skeletal surgery MeSH
- Foot Bones anatomy & histology surgery diagnostic imaging blood supply injuries MeSH
- Humans MeSH
- Metacarpal Bones surgery diagnostic imaging MeSH
- Metacarpus surgery diagnostic imaging MeSH
- Metatarsophalangeal Joint surgery MeSH
- Foot anatomy & histology surgery diagnostic imaging blood supply pathology MeSH
- Orthopedic Procedures methods adverse effects MeSH
- Osteomyelitis surgery MeSH
- Calcaneus anatomy & histology surgery diagnostic imaging blood supply pathology injuries MeSH
- Surgery, Plastic methods adverse effects MeSH
- Lunate Bone surgery diagnostic imaging MeSH
- Leg Injuries surgery diagnostic imaging pathology MeSH
- Foot Injuries surgery diagnostic imaging pathology MeSH
- Forearm Injuries surgery diagnostic imaging MeSH
- Finger Injuries surgery diagnostic imaging pathology MeSH
- Hand Injuries surgery diagnostic imaging pathology MeSH
- Fingers surgery diagnostic imaging blood supply pathology transplantation MeSH
- Pseudarthrosis surgery diagnostic imaging MeSH
- Hand surgery diagnostic imaging pathology MeSH
- Thigh surgery diagnostic imaging pathology injuries MeSH
- Talus anatomy & histology surgery diagnostic imaging injuries MeSH
- Tarsal Bones surgery diagnostic imaging pathology MeSH
- Plastic Surgery Procedures methods adverse effects MeSH
- Wrist anatomy & histology diagnostic imaging innervation MeSH
- Check Tag
- Humans MeSH
- Publication type
- Case Reports MeSH
- Review MeSH
1. české vydání 192 stran : ilustrace (převážně barevné) ; 24 cm
Příručka se zaměřuje na muskuloskeletální ultrazvuk horní končetiny a ruky. Určeno odborné veřejnosti.
- MeSH
- Upper Extremity diagnostic imaging MeSH
- Hand diagnostic imaging MeSH
- Ultrasonography methods MeSH
- Publication type
- Handbook MeSH
- Conspectus
- Patologie. Klinická medicína
- NML Fields
- radiologie, nukleární medicína a zobrazovací metody
- NML Publication type
- kolektivní monografie
- MeSH
- Arthralgia diagnosis etiology therapy MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Joint Diseases diagnosis pathology therapy MeSH
- Prognosis MeSH
- Range of Motion, Articular MeSH
- Hand * anatomy & histology diagnostic imaging pathology MeSH
- Wrist * anatomy & histology diagnostic imaging pathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Diagnostic Errors MeSH
- Diagnosis, Differential MeSH
- Leiomyoma * diagnostic imaging diagnosis surgery pathology MeSH
- Middle Aged MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Neurosurgical Procedures methods MeSH
- Hand * diagnostic imaging surgery pathology MeSH
- Carpal Tunnel Syndrome diagnosis MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
The use of structural autografts from the iliac crest for reconstruction of bony defects in the hand and foot was described by Wilson and Lance in 1965. However, very few series of this technique are published and long-term results are unknown. We present a single-institution series of 23 patients with a mean follow-up of 92 months. We also describe a novel modification of this technique using the anterior superior iliac spine for reconstruction of the adjacent joint. Failure rate was 13% at mean of 17.3 months. All patients had a firm grip in the hand and walked without support. Bony fusion was achieved in all cases regardless of the type of fixation used. The use of ASIS for joint reconstruction was successful, particularly in low-demand joints. We encountered 1 case of instability and progressive stiffness in weight-bearing joints. This is a reliable method of reconstructing bony defects in the hand or foot following tumor resections.
- MeSH
- Arthroplasty adverse effects methods MeSH
- Autografts MeSH
- Walking MeSH
- Adult MeSH
- Foot Joints diagnostic imaging surgery MeSH
- Hand Joints diagnostic imaging surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Bone Neoplasms diagnostic imaging surgery MeSH
- Foot Diseases diagnostic imaging surgery MeSH
- Ilium transplantation MeSH
- Radiography MeSH
- Retrospective Studies MeSH
- Hand diagnostic imaging surgery MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Hand Strength MeSH
- Plastic Surgery Procedures adverse effects methods MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged, 80 and over MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- MeSH
- Child MeSH
- Air Pollutants adverse effects MeSH
- Humans MeSH
- Hand diagnostic imaging MeSH
- Age Determination by Skeleton MeSH
- Bone Development drug effects MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
- Geographicals
- Czechoslovakia MeSH
- Germany, East MeSH
- Germany, West MeSH
