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Sonografie des normalen Gewebes

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Ultraschalldiagnostik der Hand

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Zusammenfassung

In diesem Kapitel erhält der Leser eine genaue Beschreibung der typischen Darstellung des normalen Gewebes (Sehnen, Bänder, Nerven, Muskeln, Knorpel etc.) im Ultraschall anhand zahlreicher Bildbeispiele. Es werden alle wichtigen anatomischen Strukturen und deren Normvarianten im Detail beschrieben – vom distalen Unterarm, über Handgelenk/Karpaltunnel bis zu den Fingerspitzen. Desweiteren werden die einzelnen Standardpositionen zur Ultraschalluntersuchung von Hand und Handgelenk vorgestellt. Das Kapitel enthält hilfreiche Praxistipps inklusive möglicher »pitfalls« für den sonografischen Anfänger.

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Notes

  1. 1.

    Besonderer Dank gilt Frau Dr. med. Christine Ehrmann (Fellow Radiologie, Uniklinik Balgrist), die sich mit viel Geduld als Sonografiemodell zur Verfügung stellte.

Literatur

  • Albinus BS (1734) Annotationes. Academicarum 4:28

    Google Scholar 

  • Atkins SE, Logan B, McGrouther DA (2009) The deep (motor) branch of the ulnar nerve: a detailed examination of its course and the clinical significance of its damage. The Journal of hand surgery, European volume 34:47–57

    Article  CAS  Google Scholar 

  • Bianchi S, Martinoli C, Montet X, Fasel JH (2003) Sonography of the hand and wrist. Der Radiologe 43:831–840

    Article  CAS  PubMed  Google Scholar 

  • Bilderback KK, Rayan GM (2004) The septa of Legueu and Juvara: an anatomic study. Journal Hand Surg Am 29:494–499

    Article  Google Scholar 

  • Boutry N, Lapegue F, Masi L, Claret A, Demondion X, Cotten A (2005) Ultrasonographic evaluation of normal extrinsic and intrinsic carpal ligaments: preliminary experience. Skeletal Radiol 34:513–521

    Article  PubMed  Google Scholar 

  • Boutry N, Titecat M, Demondion X, Glaude E, Fontaine C, Cotten A (2005) High-frequency ultrasonographic examination of the finger pulley system. Journal Ultrasound Med 24:1333–1339

    Google Scholar 

  • Bowers WH (1984) Problems of the distal radio-ulnar joint. Adv Orthop Surg 7:289–303

    Google Scholar 

  • Cauldwell EW, Anson BJ, Wright RR (1943) The extensor indicis proprius muscle: a study of 263 consecutive specimens. Q Bull Northwest Univ Med School 17:267–269

    Google Scholar 

  • Cvitanic OA, Henzie GM, Adham M (2007) Communicating foramen between the tendon sheaths of the extensor carpi radialis brevis and extensor pollicis longus muscles: imaging of cadavers and patients. AJR Am Journal Roentgenol 189:1190–1197

    Article  Google Scholar 

  • De Maeseneer M, Marcelis S, Jager T, Girard C, Gest T, Jamadar D (2009) Spectrum of normal and pathologic findings in the region of the first extensor compartment of the wrist: sonographic findings and correlations with dissections. Journal Ultrasound Med 28:779–786

    Google Scholar 

  • De Maeseneer M, Marcelis S, Jager T, Lenchik L, Pouders C, Van Roy P (2008) Sonography of the finger flexor and extensor system at the hand and wrist level: findings in volunteers and anatomical correlation in cadavers. Eur Radiol 18:600–607

    Article  PubMed  Google Scholar 

  • Doyle JR, Blythe W (1975) The finger flexor tendon sheath and pulleys: anatomy and reconstruction. In: Doyle JR, Blythe W (eds) American Academy of Orthopaedic Surgeons. Symposium on Tendon Surgery in the Hand. C.V. Mosby Co. St. Louis, 81–87

    Google Scholar 

  • Duncan I, Sullivan P, Lomas F (1999) Sonography in the diagnosis of carpal tunnel syndrome. AJR Am Journal Roentgenol 173:681–684

    Article  CAS  Google Scholar 

  • Eaton RG (1969) The extensor mechanism of the fingers. Bulletin of the Hospital for Joint Diseases 30:39–47

    Google Scholar 

  • Erickson SJ (1997) High-resolution imaging of the musculoskeletal system. Radiology 205:593–618

    Article  CAS  PubMed  Google Scholar 

  • Finlay K, Lee R, Friedman L (2004) Ultrasound of intrinsic wrist ligament and triangular fibrocartilage injuries. Skeletal Radiol 33:85–90

    Article  CAS  PubMed  Google Scholar 

  • Fornage BD (1995) Skin and subcutaneous tissues. In: Fornage BD (ed) Musculoskeletal Ultrasound. Livingstone, New York, 85–98

    Google Scholar 

  • Fornage BD, McGavran MH, Duvic M, Waldron CA (1993) Imaging of the skin with 20-MHz US. Radiology 189:69–76

    Article  CAS  PubMed  Google Scholar 

  • Fornage BD, Touche DH, Rifkin MD (1984) Small-parts real-time sonography: a new «water path”. Journal Ultrasound Med 3:355–357

    CAS  Google Scholar 

  • Gama C (1983) Extensor digitorum brevis manus: a report on 38 cases and a review of the literature. Journal Hand Surg Am 8:578–582

    Article  CAS  Google Scholar 

  • Gerber TA, Prim J, Michel BA (2000) Sonographie des normalen Gewebes. In: Gerber TA, Prim J, Michel BA (eds) Sonographie des Bewegungsapparates. Georg Thieme Verlag, Stuttgart

    Google Scholar 

  • Griffith JF, Chan DP, Ho PC, Zhao L, Hung LK, Metreweli C (2001) Sonography of the normal scapholunate ligament and scapholunate joint space. Journal of clinical ultrasound: JCU 29:223–229

    Article  CAS  PubMed  Google Scholar 

  • Harland U, Sattler H (1999) Ultraschallfibel Orthopädie Traumatologie Rheumatologie, Springer, Berlin Heidelberg New York

    Google Scholar 

  • Harvie P, Patel N, Ostlere SJ (2004) Prevalence and epidemiological variation of anomalous muscles at guyon’s canal. Journal Hand Surg Br 29:26–29

    Article  CAS  Google Scholar 

  • Jacobson JA, Oh E, Propeck T, Jebson PJ, Jamadar DA, Hayes CW (2002) Sonography of the scapholunate ligament in four cadaveric wrists: correlation with MR arthrography and anatomy. AJR Am Journal Roentgenol 179:523–527

    Article  Google Scholar 

  • Jeantroux J, Becce F, Guerini H, Montalvan B, Le Viet D, Drape JL (2010) Athletic injuries of the extensor carpi ulnaris subsheath: MRI findings and utility of gadolinium-enhanced fat-saturated T1-weighted sequences with wrist pronation and supination. Eur Radiol 21:160–166

    Article  PubMed  Google Scholar 

  • Kapandji A (1986) Biomechanics of the carpus and wrist joint. Der Orthopaede 15:60–73

    CAS  Google Scholar 

  • Kichouh M, De Maeseneer M, Jager T, Marcelis S, Van Hedent E, Van Roy P, De Mey J (2011) Ultrasound findings in injuries of dorsal extensor hood: correlation with MR and follow-up findings. Eur Journal Radiol 77:249–253

    Article  Google Scholar 

  • Klauser AS, Halpern EJ, De Zordo T, Feuchtner GM, Arora R, Gruber J, Martinoli C, Loscher WN (2009) Carpal tunnel syndrome assessment with US: value of additional cross-sectional area measurements of the median nerve in patients versus healthy volunteers. Radiology 250:171–177

    Article  PubMed  Google Scholar 

  • Kleinman WB (2007) Stability of the distal radioulna joint: biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years. Journal Hand Surg Am 32:1086–1106

    Article  Google Scholar 

  • Koo CC, Roberts AH (1997) The palmaris longus tendon. Another variation in its anatomy. Journal Hand Surg Br 22:138–139

    Article  CAS  Google Scholar 

  • Kuhlmann JN (1982) Experimentelle Untersuchungen zur Stabilität und Instabilität des Karpus. In: Nigst H (ed) Frakturen, Luxationen und Dissoziationen der Karpalknochen. Hippokrates, Stuttgart

    Google Scholar 

  • Kulthanan T, Chareonwat B (2007) Variations in abductor pollicis longus and extensor pollicis brevis tendons in the Quervain syndrome: a surgical and anatomical study. Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi 41:36–38

    Google Scholar 

  • Kwon BC, Choi SJ, Koh SH, Shin DJ, Baek GH (2010) Sonographic Identification of the intracompartmental septum in de Quervain’s disease. Clinical orthopaedics and related research 468:2129–2134

    Google Scholar 

  • Lee JC, Healy JC (2005) Normal sonographic anatomy of the wrist and hand. Radiographics : a review publication of the Radiological Society of North America, Inc 25:1577–1590

    Google Scholar 

  • Leslie DR (1954) The tendons on the dorsum of the hand. The Australian and New Zealand journal of surgery 23:253–256

    Article  CAS  PubMed  Google Scholar 

  • Lin J, Fessell DP, Jacobson JA, Weadock WJ, Hayes CW (2000) An illustrated tutorial of musculoskeletal sonography: part I, introduction and general principles. AJR Am Journal Roentgenol 175:637–645

    Article  CAS  Google Scholar 

  • Macalister A (1866) Note on muscular anomalies in human anatomy. Proc R Irish Acad 9:444–467

    Google Scholar 

  • Martinoli C, Bianchi S, Dahmane M, Pugliese F, Bianchi-Zamorani MP, Valle M (2002) Ultrasound of tendons and nerves. Eur Radiol 12:44–55

    Article  PubMed  Google Scholar 

  • Mestdagh H, Bailleul JP, Vilette B, Bocquet F, Depreux R (1985) Organization of the extensor complex of the digits. Anatomia clinica 7:49–53

    Google Scholar 

  • Middleton WD, Teefey SA, Boyer MI (2001) Hand and wrist sonography. Ultrasound quarterly 17:21–36

    Google Scholar 

  • Mitchell R, Chesney A, Seal S, McKnight L, Thoma A (2009) Anatomical variations of the carpal tunnel structures. The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique 17:e3–7

    PubMed  PubMed Central  Google Scholar 

  • Montechiarello S, Miozzi F, D’Ambrosio I, Giovagnorio F (2010) The intersection syndrome: Ultrasound findings and their diagnostic value. Journal of ultrasound 13:70–73

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Moser T, Dosch JC, Moussaoui A, Buy X, Gangi A, Dietemann JL (2008) Multidetector CT arthrography of the wrist joint: how to do it. Radiographics : a review publication of the Radiological Society of North America, Inc 28:787–800; quiz 911

    Google Scholar 

  • Murray WT, Meuller PR, Rosenthal DI, Jauernek RR (1979) Fracture of the hook of the hamate. AJR Am Journal Roentgenol 133:899–903

    Article  CAS  Google Scholar 

  • Nakamura T, Yabe Y, Horiuchi Y (1996) Functional anatomy of the triangular fibrocartilage complex. Journal Hand Surg Br 21: 581–586

    Article  CAS  Google Scholar 

  • Ogura T, Inoue H, Tanabe G (1987) Anatomic and clinical studies of the extensor digitorum brevis manus. Journal Hand Surg Am 12:100–107

    Article  CAS  Google Scholar 

  • Olubaniyi BO, Bhatnagar G, Vardhanabhuti V, Brown SE, Gafoor A, Suresh PS (2012) Comprehensive musculoskeletal sonographic evaluation of the hand and wrist. Journal Ultrasound Med 32:901–914

    Article  Google Scholar 

  • Palmer AK, Werner FW (1981) The triangular fibrocartilage complex of the wrist – anatomy and function. Journal Hand Surg Am 6:153–162

    Article  CAS  Google Scholar 

  • Panchal AP, Trzeciak MA (2010) The Clinical Application of Kaplan’s Cardinal Line as a Surface Marker for the Superficial Palmar Arch. Hand 5:155–159

    Article  PubMed  Google Scholar 

  • Pfirrmann CW, Zanetti M (2005) Variants, pitfalls and asymptomatic findings in wrist and hand imaging. Eur Journal Radiol 56: 286–295

    Article  Google Scholar 

  • Pillen S, van Alfen N (2011) Skeletal muscle ultrasound. Neurological research 33:1016–1024

    Google Scholar 

  • Propeck T, Quinn TJ, Jacobson JA, Paulino AF, Habra G, Darian VB (2000) Sonography and MR imaging of bifid median nerve with anatomic and histologic correlation. AJR Am Journal Roentgenol 175:1721–1725

    Article  CAS  Google Scholar 

  • Read JW, Conolly WB, Lanzetta M, Spielman S, Snodgrass D, Korber JS (1996) Diagnostic ultrasound of the hand and wrist. Journal Hand Surg Am 21:1004–1010

    Article  CAS  Google Scholar 

  • Reimann A, Daseler E, Anson B, Beaton L (1944) The palmaris longus muscle and tendon: A study of 1600 extremeties. . Anat Rec 495–505

    Google Scholar 

  • Ross JA, Troy CA (1969) The clinical significance of the extensor digitorum brevis manus. The Journal of bone and joint surgery British volume 51: 473–478

    CAS  Google Scholar 

  • Rotman MB, Donovan JP (2002) Practical anatomy of the carpal tunnel. Hand Clin 18:219–230

    Article  PubMed  Google Scholar 

  • Rousset P, Vuillemin-Bodaghi V, Laredo JD, Parlier-Cuau C (2010) Anatomic variations in the first extensor compartment of the wrist: accuracy of US. Radiology 257:427–433

    Article  PubMed  Google Scholar 

  • Schmidt HM, Zhang SX, Zieseniss K (1994) Clinical anatomy of the chiasma tendineum (camper) in the fingers. Clin Anat 7:65–71

    Article  Google Scholar 

  • Schmitt R, Frohner S, Fodor S, Christopoulos G, Kalb KH (2006) Radiologische Frühdiagnostik der scapholunären Dissoziation. Radiologe 46: 654–663

    Article  CAS  PubMed  Google Scholar 

  • Schmitt R, Lanz U (2008) Bildgebende Diagnostik der Hand. 3. Aufl. Georg Thieme Verlag, Stuttgart

    Google Scholar 

  • Schroeder HP von, Botte MJ (1991) The extensor medii proprius and anomalous extensor tendons to the long finger. Journal Hand Surg Am 16:1141–1145

    Article  Google Scholar 

  • Sennwald G (1987) The Wrist. Springer, Berlin, Heidelberg, New York

    Book  Google Scholar 

  • Sernik RA, Abicalaf CA, Pimentel BF, Braga-Baiak A, Braga L, Cerri GG (2008) Ultrasound features of carpal tunnel syndrome: a prospective case-control study. Skeletal Radiol 37:49–53

    Article  PubMed  Google Scholar 

  • Sharma P, Maffulli N (2005) Tendon injury and tendinopathy: healing and repair. Journal Bone Joint Surg Am 87:187–202

    Google Scholar 

  • Smith J, Rizzo M, Finnoff JT, Sayeed YA, Michaud J, Martinoli C (2011) Sonographic appearance of the posterior interosseous nerve at the wrist. Journal Ultrasound Med 30:1233–1239

    Google Scholar 

  • Sookur PA, Naraghi AM, Bleakney RR, Jalan R, Chan O, White LM (2008) Accessory muscles: anatomy, symptoms, and radiologic evaluation. Radiographics 28:481–499

    Article  PubMed  Google Scholar 

  • Stewart JD (2003) Peripheral nerve fascicles: anatomy and clinical relevance. Muscle Nerve 28:525–541

    Article  PubMed  Google Scholar 

  • Stith JS, Browne PA (1979) Extensor digitorum brevis manus: a case report review. Hand 11:217–223

    Article  CAS  PubMed  Google Scholar 

  • Stokvis A, Van Neck JW, Van Dijke CF, Van Wamel A, Coert JH (2009) High-resolution ultrasonography of the cutaneous nerve branches in the hand and wrist. The Journal of hand surgery, European volume 34:766–771

    Article  CAS  Google Scholar 

  • Straus WL (1941) The phylogeny of the human forearm extensors. Hum Biol 13:23–50, 204–238

    Google Scholar 

  • Tagliafico A, Rubino M, Autuori A, Bianchi S, Martinoli C (2007) Wrist and hand ultrasound. Seminars in musculoskeletal radiology 11:95–104

    Google Scholar 

  • Taleisnik J (1976) The ligaments of the wrist. Journal Hand Surg Am 1:110–118

    Article  CAS  Google Scholar 

  • Taleisnik J (1985) The Wrist. Churchill Livingstone, Edinburgh

    Google Scholar 

  • Taljanovic MS, Sheppard JE, Jones MD, Switlick DN, Hunter TB, Rogers LF (2008) Sonography and sonoarthrography of the scapholunate and lunotriquetral ligaments and triangular fibrocartilage disk: initial experience and correlation with arthrography and magnetic resonance arthrography. Journal Ultrasound Med 27:179–191

    Google Scholar 

  • Tan ST, Smith PJ (1999) Anomalous extensor muscles of the hand: a review. Journal Hand Surg Am 24:449–455

    Article  CAS  Google Scholar 

  • Tanaka T, Moran SL, Zhao C, Zobitz ME, An KN, Amadio PC (2007) Anatomic variation of the 5th extensor tendon compartment and extensor digiti minimi tendon. Clin Anat 20:677–682

    Article  PubMed  Google Scholar 

  • Theumann NH, Pfirrmann CW, Drape JL, Trudell DJ, Resnick D (2002) MR imaging of the metacarpophalangeal joints of the fingers: part I. Conventional MR imaging and MR arthrographic findings in cadavers. Radiology 222:437–445

    Article  PubMed  Google Scholar 

  • Towfigh H (2011) Infektion. In: Towfigh H, Hierner R, Langer M, Friedel R (eds) Handchirurgie, Springer, Berlin Heidelberg New York. 1245–1276

    Chapter  Google Scholar 

  • Valle M, Zamorani MP (2007) Nerve and Blood Vessels. In: Bianchi S, Martinolli C (eds) Ultrasound of the Musculoskeletal System, Springer, Berlin Heidelberg New York. 98–136

    Google Scholar 

  • Valle M, Zamorani MP (2007) Skin and Subcutaneous Tissue. In: Bianchi S, Martinolli C (eds) Ultrasound of the Musculoskeletal System, Springer, Berlin Heidelberg New York. 19–43

    Chapter  Google Scholar 

  • Vella JC, Hartigan BJ, Stern PJ (2006) Kaplan’s cardinal line. Journal Hand Surg Am 31:912–918

    Article  Google Scholar 

  • Zamorani MP, Valle M (2007) Bone and Joint. In: Bianchi S, Martinoli C (eds) Ultrasound of the Musculoskeletal System, Springer, Berlin Heidelberg New York. 137–185

    Chapter  Google Scholar 

  • Zamorani MP, Valle M (2007) Muscle and Tendon. In: Bianchi S, Martinoli C (eds) Ultrasound of the Musculoskeletal System. Springer Berlin Heidelberg New York. 45–96

    Chapter  Google Scholar 

  • Zilber S, Oberlin C (2004) Anatomical variations of the extensor tendons to the fingers over the dorsum of the hand: a study of 50 hands and a review of the literature. Plastic and reconstructive surgery 113:214–221

    Google Scholar 

  • Zilles K, Tillmann B (Hg.) (2010) Anatomie. Springer, Heidelberg Berlin New York

    Google Scholar 

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Authors and Affiliations

  1. Radiologie, Uniklinik Balgrist, Forchstrasse 340, 8008, Zürich, Schweiz

    Prof. Dr. med. Christian W. A. Pfirrmann & Dr. med. Andrea Rosskopf

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  1. Prof. Dr. med. Christian W. A. Pfirrmann
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  2. Dr. med. Andrea Rosskopf
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Correspondence to Christian W. A. Pfirrmann or Andrea Rosskopf .

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  1. Schulthess Klinik, Zürich, Schweiz

    Sebastian Kluge

  2. Handchirurgie Seefeld, Zürich, Schweiz

    Sebastian Kluge

  3. Klinik Impuls, Wetzikon, Schweiz

    Sebastian Kluge

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Pfirrmann, C.W.A., Rosskopf, A. (2015). Sonografie des normalen Gewebes. In: Kluge, S. (eds) Ultraschalldiagnostik der Hand. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44940-6_4

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