Wrist ultrasound examination – scanning technique and ultrasound anatomy. Part 2: Ventral wrist
Open Access
- 30 June 2017
- journal article
- review article
- Published by Medical Communications Sp. z.o.o. in Journal of Ultrasonography
- Vol. 17 (69), 123-128
- https://doi.org/10.15557/JoU.2017.0018
Abstract
Ultrasound imaging of the musculoskeletal system is an important element of the diagnostic and therapeutic protocol. Clinical decisions, including those regarding surgical procedures, are often based solely on ultrasound imaging. However, detailed knowledge on the anatomy and a correct scanning technique are crucial for an accurate diagnosis. Modern ultrasonographic equipment allows obtaining detailed anatomical images of muscle tendons, ligaments, nerves and vessels of the carpal area. Ventral wrist ultrasound is one of the most common diagnostic procedures in patients with suspected carpal tunnel syndrome. Ventral wrist evaluation is also often performed in patients with wrist pain of unclear etiology, rheumatic diseases, wrist injuries or symptoms of ulnar neuropathy. The aim of this paper is to present ultrasound images with corresponding anatomical schemes. The technique of ultrasound examination of the ventral wrist along with practical guidance to help obtain highly diagnostic images is also discussed. The present paper is the second part of an article devoted to ultrasound anatomy and wrist ultrasound technique – the part discussing the dorsal side of the wrist was published in the Journal of Ultrasonography, Vol. 15, No 61. The following anatomical structures should be visualized during an ultrasound examination of the ventral wrist, both in the carpal tunnel as well as proximally and distally to it: four flexor digitorum superficialis tendons, four flexor digitorum profundus tendons, flexor pollicis longus, flexor carpi radialis tendon, median nerve and flexor retinaculum; in the carpal tunnel as well as proximally and distally to it: the ulnar nerve, ulnar artery and veins; the tendon of the flexor carpi ulnaris muscle; carpal joints.Keywords
This publication has 12 references indexed in Scilit:
- Clinical Findings of Asymptomatic Carpal Tunnel Syndrome in Patients With Diabetes MellitusAnnals of Rehabilitation Medicine, 2016
- Carpal tunnel syndrome: Analyzing efficacy and utility of clinical tests and various diagnostic modalitiesJournal of Neurosciences in Rural Practice, 2015
- Ocena przydatności badania USG z zastosowaniem głowicy wysokiej częstotliwości w kwalifikacji do operacyjnego leczenia zespołu kanału nadgarstkaJournal of Ultrasonography, 2015
- Wrist ultrasound examination – scanning technique and ultrasound anatomy. Part 1: Dorsal wristJournal of Ultrasonography, 2015
- Zmiany patologiczne ręki w badaniu ultrasonograficznymJournal of Ultrasonography, 2014
- Badanie ultrasonograficzne w diagnostyce ręki reumatoidalnejJournal of Ultrasonography, 2013
- Ultrasound assessment of selected peripheral nerve pathologies. Part III: Injuries and postoperative evaluationJournal of Ultrasonography, 2013
- Normal and sonographic anatomy of selected peripheral nerves. Part II: Peripheral nerves of the upper limbJournal of Ultrasonography, 2012
- Pictorial essay: Role of ultrasound in failed carpal tunnel decompressionIndian Journal of Radiology and Imaging, 2012
- MRI of soft tissue masses of the hand and wristThe British Journal of Radiology, 2007