title: Ultrasound-guided procedures around the wrist and hand: how to do.
abstract: Ultrasound has emerged as a low-cost, radiation-free and effective imaging technique to detect joint abnormalities and to guide percutaneous procedures. Being superficial, wrist and hand tendons and joints represent a good target to perform such procedures using ultrasound guidance. This kind of approach allows for a clear and real-time visualization of the needles during their whole path. In this setting, the knowledge of technical aspects and tips is essential to act in the most accurate way on target tissues that can be as small as a few millimetres. The aim of this review is to summarize the local treatments of inflammatory and degenerative disease described in literature (such as treatment of De Quervain's tenosynovitis, trigger finger, trapezio-metacarpal joint osteoarthritis, etc.), emphasizing precautions and tricks based on day-by-day experience that may help to improve the outcome of percutaneous ultrasound-guided procedures around the wrist and hand.
authors.affiliation: Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Genova, Via L.B. Alberti 4, 16132 Genova, Italy.
authors.forename: Davide
authors.initials: D
authors.lastname: Orlandi
authors.affiliation: Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Genova, Via L.B. Alberti 4, 16132 Genova, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Corazza
authors.affiliation: Diagnostica per Immagini, Ospedale Evangelico Internazionale, Corso Solferino 29A, 16100 Genova, Italy.
authors.forename: Enzo
authors.initials: E
authors.lastname: Silvestri
authors.affiliation: Dipartimento di Diagnostica per Immagini, Ospedale Santa Corona, Via XXV Aprile 38, 17037 Pietra Ligure, Savona, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Serafini
authors.affiliation: Dipartimento di Scienze Chirurgiche, Oncologiche e Gastroenterologiche, Università degli Studi di Padova, Via Giustiniani, Padova, Italy.
authors.forename: Edoardo Vincenzo
authors.initials: EV
authors.lastname: Savarino
authors.affiliation: Dipartimento di Scienze per la Salute, Università degli Studi di Genova, Via L.B. Alberti 4, 16132 Genova, Italy.
authors.forename: Giacomo
authors.initials: G
authors.lastname: Garlaschi
authors.affiliation: Servizio di Radiologia, IRCCS Policlinico San Donato, Piazza Malan 2, San Donato Milanese, Milano, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mauri
authors.affiliation: Dipartimento di Medicina Interna, Università degli Studi di Genova, Via L.B. Alberti 4, 16132 Genova, Italy.
authors.forename: Marco Amedeo
authors.initials: MA
authors.lastname: Cimmino
authors.affiliation: Servizio di Radiologia, IRCCS Policlinico San Donato, Piazza Malan 2, San Donato Milanese, Milano, Italy; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Piazza Malan 2, San Donato Milanese, Milano, Italy. Electronic address: io@lucasconfienza.it.
authors.forename: Luca Maria
authors.initials: LM
authors.lastname: Sconfienza
mesh_terms: D006225:Hand / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007269:Injections, Intra-Arterial / Q000379:methods; D007592:Joint Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*
keywords: Hand; Injections; Joint disease; Tendon disease; Ultrasound guidance; Wrist