10 ROLE OF ULTRASONOGRAPHY IN WRIST PATHOLOGY
Journal Title: Indian journal of applied basic medical sciences - Year 2017, Vol 19, Issue 29
Abstract
Objective: The aim of this study is to demonstrate USG findings of various wrist pathologies.Material and Method: During the period of September- 2015 to January 2017 a prospective study of eighty patients was carried out with relevant clinical history, examination and laboratory investigations. High resolution ultrasound was carried out on GE logiq P5 with 7.5 MHz linear and 3.5MHz curvilinear probe with adequate standoff mound of gel to allow optimal visualization of most superficial structures. Bilateral wrists, second to fifth metacarpophalangeal joints and proximal interphalangeal joints were examined in axial and sagittal planes, keeping the joint in neutral position. Power Doppler mode was also used to evaluate vascularity of hypertrophied synovium or thickened tendon sheath and to differentiate it from fluid (effusion).Results: Our study included patients from age group 21-60 years. Mean age of our study group was 40.6 years, total 60 females and 20 male patients. Out of 80 patients, 56(70%) consisted of patients with ganglion cyst, 10(12.5%) were of rheumatoid arthritis, 8(10%) were of tenosynovitis, 4(5%) were of tendon tear and 2(2.5%) was of carpal tunnel syndrome. Synovial hypertrophy was seen as abnormal hypoechoic intraarticular tissue that may show Doppler signal. Synovial effusion was seen as abnormal anechoic intraarticular area that does not show Doppler signal. It was found in 2/10 (20%) patients of RA, 3/4 (75%) patients of tenosynovitis, 4/4(100%) patients of tendon tears. Vascularity (on power Doppler) of the thickened synovial tendon sheath was found in 12/56 (21%) patients of ganglion cyst, 4/10 (40%) patients of rheumatoid arthritis, 6/8(75%) of tenosynovitis.CONCLUSION: USG provides a cheap and cost effective alternative to costlier modalities like MRI. Its real-time imaging ability is a major advantage while evaluating tendons of the hand. Thus, ultrasound has multidimensional role in various wrist pathologies such as ganglion cyst, rheumatoid arthritis, tenosynovitis, tendon tears and carpal tunnel syndromes.
Authors and Affiliations
Dr. JANKI JARADI, Dr. KAVITA VAISHNAV
Keywords
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