Ultrasound Imaging for Diagnosis of Wrist and Hand Tendon Disorders

Ultrasound imaging has become an invaluable tool in the diagnosis and evaluation of various wrist and hand tendon disorders, offering a non-invasive, cost-effective, and real-time imaging solution. This presentation explores the benefits of ultrasound in the diagnosis of de Quervain disease, focusing on its ability to visualize the thickening of the abductor pollicis longus and extensor pollicis brevis tendons, along with surrounding inflammation within the first dorsal compartment. By using high-frequency probes, clinicians can detect subtle structural changes and dynamic anomalies that are often indicative of de Quervain disease, facilitating early diagnosis and treatment. Additionally, ultrasound plays a critical role in assessing disorders involving the thumb extensor tendons, such as the extensor pollicis longus (EPL), allowing for early detection of tendinopathy, partial tears, or ruptures. This imaging technique also provides valuable information on the volar side of the wrist, where conditions affecting the flexor pollicis longus and flexor carpi radialis tendons can be evaluated. Ultrasound's ability to perform dynamic assessments during flexion and extension of the thumb and wrist aids in identifying functional impairments and guiding treatment planning. Overall, ultrasound offers a versatile and effective approach to diagnosing wrist and hand tendon disorders, improving patient outcomes through prompt and accurate assessment.