Keywords:
Diagnostic procedure, Ultrasound-Power Doppler, Ultrasound, Musculoskeletal system, Musculoskeletal soft tissue, Inflammation, Trauma
Authors:
R. R. Desai1, Y. Endo2, O. K. Nwawka3; 1New York, New York/US, 2New York/US, 3New York, NY/US
DOI:
10.26044/ecr2019/C-0203
Results
53 patients who underwent ultrasound for hand injuries had surgery (46/53) and/or robust clinical follow-up.
Confirmed diagnoses included: Tendon injury (26 patients),
retained foreign body (12),
inflammatory arthropathy (5),
ligamentous injury (3),
nerve injury (3),
ganglion cysts (2),
hematoma (1),
and deep venous thrombosis (1).
The concordance rate of ultrasound with surgical findings and/or clinical outcomes was 92.5% (49/53).
In 4 cases,
tendon pathology detected intra-operatively was not detected on ultrasound.
The 4 cases included: Partial tear of flexor profundus and complete tear of flexor superficialis of ring finger,
partial tear of extensor digitorum communis tendon of ring finger,
partial tear of flexor tendon of ring finger (small 1 mm laceration),
and fibromas of flexor pollicis longus,
digitorum superficialis and profundus tendon sheaths of index,
long,
ring and small fingers.