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Hemangioma: Well-defined soft-tissue lesion presenting as an asymptomatic soft-tissue mass on the volar aspect of the wrist in a 19-year-old man. (A) On US lesion (arrow) is inhomogenous iso/ hyperechoic, partially compressible (B), with increased internal flow on color Doppler with compression (C). No pheboliths are identified within lesion. Confirmed on pathology as a hemangioma. (Color version of figure is available online.)
Source publication
Ultrasound is a valuable imaging modality for evaluation of patients presenting with wrist pain. An important advantage is the ability to correlate the site of pain or discomfort with the underlying sonographic appearance. The capacity to dynamically assess the wrist and use the contralateral asymptomatic wrist for comparison purposes are strengths...
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Objective:
To investigate the association of OA risk factors with number of painful joint sites in a representative population sample.
Methods:
Analysis of the 2009 Survey on Living with Chronic Diseases in Canada - Arthritis Component (n = 1614) for respondents reporting symptomatic OA. Variables: painful joints sites (hands, wrists, elbows, sh...
Citations
... Since ultrasound is an extremely sensitive imaging modality for the identification of synovial enlargement, Harish et al. (12) also came to this conclusion. US can also identify early inflammation, such as synovitis, bone erosions, and to a lesser extent, cartilage loss, by directly seeing the articular and periarticular pathologies, according to Wong et al. (13) . ...
... HRUS provides with a wide range of diagnostic opportunity due to its inherent qualities such as excellent evaluation of superficial soft tissues, simultaneous examination of contralateral wrist, inexpensive, time efficient, and dynamic nature, etc., but with limited role bone pathologies. [3,5] Magnetic resonance imaging It is the most commonly used imaging modality for the assessment of wrist pain pathologies not only due to its ability of demonstrating osseous pathologies besides those involving variety of soft tissues at the wrist joint but also due to its ability to detect early disease, for example, marrow edema. [5][6][7] However, it is limited by it expensive and time-consuming nature besides being sparsely available. ...
Introduction: Wrist joint is a commonly used joint in day-to-day activities and hence is not only susceptible to various pathologies but is also the cause of significant morbidity in cases of painful wrist. Although magnetic resonance imaging (MRI) is the usual imaging investigation preferred for the evaluation of painful wrist joint, its inherent limitations in form of high cost, limited availability, higher scan time, and lack of comparison with contralateral side have prompted us to design a study comparing the role of high-resolution ultrasonography (HRUS) with MRI in such cases. Materials and Methods: Forty patients of painful wrist joint were evaluated with HRUS and MRI following approval of IEC and after informed consent. The two imaging modalities were compared not only in the detection of various findings related to painful wrist joint as joint effusion, synovitis, synovial hypertrophy, tenosynovitis, rice bodies, bone erosions, etc., but also in diagnosing the final group of disease. Appropriate statistical tests were then used to analyze the results. Results: Our study revealed that HRUS is similar to MRI in the detection of joint effusion, synovitis, synovial hypertrophy, tenosynovitis, rice bodies, etc., but is very poor in the detection of bony pathologies, especially marrow edema or chronic fractures. In our study, HRUS was equivalent to MRI in the final diagnosis in 67.5% cases, was inferior to MRI in 30% cases and was superior to MRI in 2.5%. Conclusions: Since HRUS has a high accuracy in detecting the pathologies in cases of painful wrist joint, it should be used as the first imaging modality. Patients with equivocal diagnosis or requiring surgical planning may, however, be subjected to MRI.
... US is a very sensitive imaging technique for the detection of synovial hypertrophy. This is one of the indications for US that is rapidly increasing as Correspondence to: Dr. Mennatallah El-Sayed, The Department of Radiology, Musculoskeletal Imaging Unit, Faculty of Medicine, Cairo University synovial proliferation can be detected in its early stages [1] . ...
... These results were confirmed by all the studies that we found discussing the role of ultrasound in evaluation of the rheumatological changes of the wrist joint. Accordingly Harish et al., [1] stated that ultrasound is a very sensitive imaging technique for the detection of synovial hypertrophy. ...
The complexity of the wrist anatomy can present a significant challenge to the diagnosis and subsequent management of hand and wrist pathology. Conventional radiological and radionuclide methods are often used in the evaluation of wrist pain. Radionuclide bone scanning (two-phase or three-phase) with 99mTc-MDP has an important role in imaging the hand and wrist and is used in both acute and chronic conditions. However, accurate localisation and characterisation is often challenging. Wrist registration with multisclice SPECT/CT combines functional information from radionuclide bone scan with anatomy by registration with CT. Multislice SPECT/CT provides and may improve specificity and diagnostic confidence. This chapter describes the principle, technique and potential clinical applications of conventional radionuclide bone scan/wrist registration and multislice SPECT/CT.
