CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e128-e139
DOI: 10.1055/s-0041-1739295
Update Article | Artículo de Actualización

Utilidad de la ecografía en la cirugía de la mano: parte I

Article in several languages: English | español
1   Hand Surgery Unit, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain
4   Orthopedic Surgery and Traumatology Unit, clínica AVANFI, Madrid, Madrid, Spain
,
2   Orthopedic Surgery and Traumatology Unit, Clínica Pakea de Mutualia, Donostia/San Sebastián, Guipúzcoa, País Vasco, Spain
,
3   Musculoskeletal Radiology Service, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain
,
4   Orthopedic Surgery and Traumatology Unit, clínica AVANFI, Madrid, Madrid, Spain
,
5   SERMAS institution, Madrid, Spain
› Author Affiliations

Resumen

En los últimos años, la ecografía de muñeca y mano ha aumentado en popularidad. Los avances técnicos nos llevaron a mejorar la calidad de la imagen y a tener la capacidad de ver estructuras superficiales de tejidos blandos con alta resolución con el paciente en nuestro consultorio.

Las ventajas de la ecografía son el hecho de que es no invasiva, su falta de radiación ionizante, el bajo costo y la portabilidad. La evaluación dinámica y en tiempo real en el consultorio es un beneficio adicional.

El ultrasonido puede ser utilizado en la cirugía de la mano con fines diagnósticos y terapéuticos. Podemos utilizar la ecografía para inyecciones con guía de aguja, para la evaluación de masas de tejidos blandos, cuerpos extraños, lesiones de tendones, neuropatías compresivas, y enfermedad articular reumatológica. También nos ayuda a realizar procedimientos guiados por ecografía: síndrome del túnel carpiano, dedo en gatillo, síndrome de intersección, o síndrome compartimental.

El objetivo de la presente revisión es describir diferentes utilidades de la ecografía en cirugía de mano que muestran el importante papel de la ecografía en ayudar al cirujano a tener más información de la enfermedad del paciente.



Publication History

Received: 13 September 2021

Accepted: 01 October 2021

Article published online:
13 December 2021

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  • References

  • 1 Viviano SL, Chandler LK, Keith JD. Ultrahigh Frequency Ultrasound Imaging of the Hand: A New Diagnostic Tool for Hand Surgery. Hand (N Y) 2018; 13 (06) 720-725
  • 2 Parker L, Nazarian LN, Carrino JA. et al. Musculoskeletal imaging: medicare use, costs, and potential for cost substitution. J Am Coll Radiol 2008; 5 (03) 182-188
  • 3 Guerini H, Morvan G, Vuillemin V. et al. Ultrasound of wrist and hand masses. Diagn Interv Imaging 2015; 96 (12) 1247-1260
  • 4 Sofka CM. Ultrasound of the hand and wrist. Ultrasound Q 2014; 30 (03) 184-192
  • 5 Starr Jr HM, Sedgley MD, Murphy MS. Ultrasound in hand surgery. J Hand Surg Am 2014; 39 (12) 2522-2524
  • 6 Teefey SA, Dahiya N, Middleton WD, Gelberman RH, Boyer MI. Ganglia of the hand and wrist: a sonographic analysis. AJR Am J Roentgenol 2008; 191 (03) 716-720
  • 7 Lee BJ, Sawyer GA, Dasilva MF. Methylene blue-enhanced arthroscopic resection of dorsal wrist ganglions. Tech Hand Up Extrem Surg 2011; 15 (04) 243-246
  • 8 Teh J. Ultrasound of soft tissue masses of the hand. J Ultrason 2012; 12 (51) 381-401
  • 9 Vreju FA, Ciurea ME, Popa D. et al. Ultrasonography in the diagnosis and management of non inflammatory conditions of the hand and wrist. Med Ultrason 2016; 18 (01) 90-95
  • 10 Rahmani G, McCarthy P, Bergin D. The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review. Acta Radiol Open 2017; 6 (06) 1-6
  • 11 Höglund M, Tordai P, Engkvist O. Ultrasonography for the diagnosis of soft tissue conditions in the hand. Scand J Plast Reconstr Surg Hand Surg 1991; 25 (03) 225-231
  • 12 Schöffl V, Heid A, Kupper T. Tendon injuries of the hand. World J Orthop 2012; 3: 62-69
  • 13 Karabay N. US findings in traumatic wrist and hand injuries. Diagn Interv Radiol 2013; 19 (04) 320-325
  • 14 Hoffman DF, Adams E, Bianchi S. Ultrasonography of fractures in sports medicine. Br J Sports Med 2015; 49 (03) 152-160
  • 15 Corduff N, Jones R, Ball J. The role of ultrasound in the management of zone 1 flexor tendon injuries. J Hand Surg [Br] 1994; 19 (01) 76-80
  • 16 Schöffl VR, Schöffl I. Injuries to the finger flexor pulley system in rock climbers: current concepts. J Hand Surg Am 2006; 31 (04) 647-654
  • 17 Wong DCM, Wansaicheong GKL, Tsou IYY. Ultrasonography of the hand and wrist. Singapore Med J 2009; 50 (02) 219-225
  • 18 Klauser A, Stadlbauer KH, Frauscher F. et al. Value of transducer positions in the measurement of finger flexor tendon thickness by sonography. J Ultrasound Med 2004; 23 (03) 331-337
  • 19 Klauser A, Frauscher F, Bodner G. et al. Finger pulley injuries in extreme rock climbers: depiction with dynamic US. Radiology 2002; 222 (03) 755-761
  • 20 Kessler JM, de la Lama M, Umans HR, Negron J. High-frequency sonography of the volar digital nerves of the hand. Muscle Nerve 2012; 45 (02) 222-226
  • 21 Koenig RW, Pedro MT, Heinen CP. et al. High-resolution ultrasonography in evaluating peripheral nerve entrapment and trauma. Neurosurg Focus 2009; 26 (02) E13-E15
  • 22 Fornage BD. Peripheral nerves of the extremities: imaging with US. Radiology 1988; 167 (01) 179-182
  • 23 Chiavaras MM, Jacobson JA, Yablon CM, Brigido MK, Girish G. Pitfalls in wrist and hand ultrasound. AJR Am J Roentgenol 2014; 203 (03) 531-540
  • 24 Davis TR. Prediction of outcome of non-operative treatment of acute scaphoid waist fracture. Ann R Coll Surg Engl 2013; 95 (03) 171-176
  • 25 Herneth AM, Siegmeth A, Bader TR. et al. Scaphoid fractures: evaluation with high-spatial-resolution US initial results. Radiology 2001; 220 (01) 231-235
  • 26 Olubaniyi BO, Bhatnagar G, Vardhanabhuti V, Brown SE, Gafoor A, Suresh PS. Comprehensive musculoskeletal sonographic evaluation of the hand and wrist. J Ultrasound Med 2013; 32 (06) 901-914
  • 27 Taljanovic MS, Goldberg MR, Sheppard JE, Rogers LF. US of the Intrinsic and Extrinsic Wrist Ligaments and Triangular Fibrocartilage Complex—Normal Anatomy and Imaging Technique. Radiographics 2011; 31 (01) DOI: 10.1148/rg.e44.
  • 28 Finlay K, Lee R, Friedman L. Ultrasound of intrinsic wrist ligament and triangular fibrocartilage injuries. Skeletal Radiol 2004; 33 (02) 85-90
  • 29 Olchowy C, Łasecki M, Zaleska-Dorobisz U. Wrist ultrasound examination - scanning technique and ultrasound anatomy. Part 1: Dorsal wrist. J Ultrason 2015; 15 (61) 172-188
  • 30 Griffith JF, Chan DP, Ho PC, Zhao L, Hung LK, Metreweli C. Sonography of the normal scapholunate ligament and scapholunate joint space. J Clin Ultrasound 2001; 29 (04) 223-229
  • 31 Kendi AT, Güdemez E. Sonographic evaluation of scapholunate ligament: value of tissue harmonic imaging. J Clin Ultrasound 2006; 34 (03) 109-112
  • 32 Dao KD, Solomon DJ, Shin AY, Puckett ML. The efficacy of ultrasound in the evaluation of dynamic scapholunate ligamentous instability. J Bone Joint Surg Am 2004; 86 (07) 1473-1478
  • 33 Boutry N, Lapegue F, Masi L, Claret A, Demondion X, Cotten A. Ultrasonographic evaluation of normal extrinsic and intrinsic carpal ligaments: preliminary experience. Skeletal Radiol 2005; 34 (09) 513-521
  • 34 Taljanovic MS, Sheppard JE, Jones MD, Switlick DN, Hunter TB, Rogers LF. Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk: initial experience and correlation with arthrography and magnetic resonance arthrography. J Ultrasound Med 2008; 27 (02) 179-191
  • 35 Taljanovic MS, Sheppard JE, Jones MD, Switlick DN, Hunter TB, Rogers LF. Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and TFC: initial experience and correlation with arthrography and magnetic resonance arthrography. J Ultrasound Med 2008; 27 (02) 179-191
  • 36 Ebrahim FS, De Maeseneer M, Jager T, Marcelis S, Jamadar DA, Jacobson JA. US diagnosis of UCL tears of the thumb and Stener lesions: technique, pattern-based approach, and differential diagnosis. Radiographics 2006; 26 (04) 1007-1020
  • 37 Boutry N, Lardé A, Demondion X, Cortet B, Cotten H, Cotten A. Metacarpophalangeal joints at US in asymptomatic volunteers and cadaveric specimens. Radiology 2004; 232 (03) 716-724