Ultrasound diagnostics of the wrist joint and hand according to international standards

Course curriculum

• Technical requirements and objectives of the ultrasound examination
• Introduction to the specifications of ultrasound equipment for examining the small structures of the hand, including high-frequency transducers for optimal resolution
• Overview of study objectives aimed at identifying inflammatory processes, traumatic injuries and degenerative changes in the wrist joint and hand
• Anatomy of the wrist joint and hand
• Detailed description of the anatomical features of the wrist joint and hand, including the tendon compartments, ligaments, and the tendon apparatus of the fingers
• Analysis of the concept of tendon compartments and their role in hand function, as well as the nuances of the ligamentous apparatus structure
• Ultrasound scanning protocol
• Description of the hand ultrasound scanning technique in 16 steps, including patient preparation, selection of device settings, and interpretation of the obtained images
• Recommendations for performing functional tests and adapting patient positioning to improve visualization of specific structures
• Tenosynovitis and tendovaginitis
• In-depth analysis of the features of tenosynovitis and tendovaginitis, including the clinical presentation and ultrasound signs of these conditions
• Discussion of the diagnosis of purulent tenosynovitis, horseshoe abscess, De Quervain tenosynovitis and intersection syndromes
• Injuries of Tendons, Ligaments, and Cartilaginous Structures
• Introduction to ultrasound diagnosis of partial and complete tendon tears, including dynamic assessment techniques and their impact on diagnosis
• Description of specific injuries such as mallet finger, sagittal band injuries, tendon subluxations, and volar plate injuries
• Peripheral nerves
• Detailed diagnosis of peripheral nerve lesions, including compression neuropathies, using Tinel's and Phalen's signs
• Analysis of neurogenic tumors and specific problems such as Guyon's canal and hypothenar hammer
• Mass lesions on ultrasound
• Analysis of methods for identifying joint ganglia, giant cell synovitis and detecting foreign bodies
• OMERACT recommendations
• Presentation of international standards and recommendations for ultrasound diagnostics of hand joint diseases
• Ultrasound guidance during punctures and injections
• Description of ultrasound-guided puncture and injection techniques for treating hand conditions, including median nerve block and tenosynovitis therapy
• Generating the examination report
• Recommendations for report writing, including a detailed description of detected pathologies and the development of clinical recommendations based on ultrasound data