Wrist & Hand Ultrasonography 대구가톨릭대학교병원재활의학과 권동락

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1 Wrist & Hand Ultrasonography 대구가톨릭대학교병원재활의학과 권동락

2 Dorsal Wrist Evaluation (1 st Compartment) EPB APL Transverse View APL, abductor pollicis longus; EPB, extensor pollicis brevis

3 Dorsal Wrist Evaluation (1 st & 2 nd Compartments) ECRB ECRL EPB APL Transverse View ECRL, extensor carpi radialis longus; ECRB, extensor carpi radialis brevis

4 2 nd, 3 rd, & 4 th Compartments E EPL ECRB ECRL Transverse View EPL, extensor pollicis longus; E, extensor digitorium & extensor indicis; Dorsal (Lisser) tubercle (arrow)

5 3 rd, 4 th & 5 th Compartments EDM E EPL R Transverse View EDM, extensor digiti minimi; R, radius; Dorsal (Lisser) tubercle (arrow)

6 Dorsal Wrist Evaluation E R Longitudinal View E, extensor digitorium & extensor indicis; R, radius; Extensor retinaculum (arrow head)

7 Dorsal Wrist Evaluation (6 th Compartment) ECU U Transverse View ECU, extensor carpi ulnaris; U, ulna

8 Dorsal Wrist Evaluation (6 th Compartment) ECU U Longitudinal View ECU, extensor carpi ulnaris; U, ulna

9 Dorsal Wrist Evaluation (Triangular Fibrocartilage Complex) ECU U U TFCC T R Longitudinal View TFCC, triangular fibrocartilage complex; U, ulna; R, radius; T, triquetrum; ECU, extensor carpi ulnaris

10 Dorsal Wrist Evaluation (Triangular Fibrocartilage Complex) ECU U TFCC R Transverse View TFCC, triangular fibrocartilage complex; R, radius; ECU,extensor carpi ulnaris

11 Volar Wrist Evaluation (Distal Radioulnar Joint) FDP FDS FCR R U Transverse View FCR, flexor carpi radialis; FDS, flexor digitorium superficialis; FDP: flexor digotorium profundus; R, radius; U, ulna; Median nerve (arrow)

12 Proximal Carpal Tunnel FCR P U F FPL S Transverse View FPL, flexor pollicis longus; F, finger flexor, S, scaphoid tubercle; P, pisiform; U, ulnar artery; Median nerve (arrow); Ulnar nerve (open arrow head); Flexor retinaculum (solid arrow head)

13 Distal Carpal Tunnel U T FPL H F Transverse View FPL, flexor pollicis longus; F, finger flexor, T, trapezium; H, hook of hamate; U, ulnar artery; Median nerve (arrow); Ulnar nerve (arrow head)

14 Volar Wrist Evaluation F R L C Longitudinal View F, finger flexor; R, radius; L, lunate; C, capitate; Median nerve (arrow); Flexor retinaculum (arrow head)

15 Dorsal Finger Evaluation ECU MC PP Longitudinal View MC, metacarpal; PP, proximal phalanx; Extensor tendon (arrow head)

16 Dorsal Finger Evaluation ECU PP MP Longitudinal View PP, proximal phalanx; MP, middle phalanx; Extensor tendon (arrow head)

17 Dorsal Finger Evaluation MP DP Longitudinal View MP, middle phalanx; DP, distal phalanx; Extensor tendon (arrow); Nail (arrow head)

18 Other Ligament Evaluation MC PP Longitudinal View MC, metacarapal; PP, proximal phalanx; Ulnar collateral ligament (arrow head)

19 Volar Finger Evaluation ECU * S P MC PP Longitudinal View MC, metacarpal; PP, proximal phalanx; P, flexor digitorium profundus; S, superficialis; A1 pulley (arrow); Palmar plate (asterisk); Cartilage (arrow head)

20 Volar Finger Evaluation S ECU P PP Transverse View PP, proximal phalanx; P, flexor digitorium profundus; S, superficialis

21 Volar Finger Evaluation ECU P S PP MP Longitudinal View PP, proximal phalanx; MP, middle phalanx; P, flexor digitorium profundus; S, superficialis

22 Volar Finger Evaluation S ECU P S MP Longitudinal View MP, middle phalanx; P, flexor digitorium profundus; S, superficialis

23 Volar Finger Evaluation P S MP ECU DP Longitudinal View MP, middle phalanx; DP, distal phalanx; P, flexor digitorium profundus; S, superficialis

24 Thank You for Your Attention

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