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Dynamic Ultrasound with Anatomic Correlation of the Wrist and Hand

February 19, 2016

Contributors: Jeffrey Orr, MD; Giacomo Cappelleti, MD; Orry Erez, MD; Elan Golan, MD; David M Edelstein, MD

A cheap and readily available diagnostic tool, ultrasound has gained much recent popularity as a method of direct visualization that can be easily used to facilitate diagnosis and treatment of many types of pathology. With regard to the practice of orthopaedics, ultrasound has been employed across multiple subspecialties, from identifying pediatric hip effusions to dynamic testing and direct visualization of suspected rotator cuff pathology. As an increasing number of clinicians begin to incorporate the use of ultrasound into their practice, a basic understanding of its use will become an increasingly essential tool for the coming generation of orthopaedists. This video reviews how ultrasound can be effectively used in the treatment of common orthopaedic hand pathology. This video reviews common applications of employing ultrasound for direct visualization, such as in identifying the first dorsal compartment in De Quervain's tenosynovitis and in localizing the A1 pulley for trigger finger injections. This video also reviews common uses of dynamic stress testing in upper extremity pathology including ulnar collateral ligament stress testing for gamekeepers thumb as well as ultrasound guided assessment of distal radioulnar joint (DRUJ) instability. Finally, several common provocative tests for scapholunate (S-L) ligament compromise, such as the Watson and S-L Clenched fist tests, are reviewed with simultaneous direct visualization under ultrasound guidance.

Results for "Physical Exam/Anatomy"