Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

The Usefulness of Ultrasound Diagnosis of Acute Tendon Injury in Hand

급성 건 손상 환자에서 초음파의 유용성

  • Choi, Chang Yong (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University) ;
  • Lee, Han Jeong (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University) ;
  • Choi, Hwan Jun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University) ;
  • Kim, Mi Sun (Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University)
  • 최창용 (순천향대학교 의과대학 성형외과학교실) ;
  • 이한정 (순천향대학교 의과대학 성형외과학교실) ;
  • 최환준 (순천향대학교 의과대학 성형외과학교실) ;
  • 김미선 (순천향대학교 의과대학 성형외과학교실)
  • Received : 2008.03.19
  • Accepted : 2008.08.04
  • Published : 2008.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The evaluation and management of a completely transected tendon of the hand is relatively clear. In most cases, the integrity is assessed by physical examination(eg, broken normal cascade, motion loss) but occasionally, It happens in troubles. because of pain, limited patient cooperation(eg, child, unconscious patient), and other associated injuries(eg, fractures, foreign bodies). Methods: From september 2006 to August 2007, 28 patients were evaluated with real time ultrasonography preoperatively and postoperatively. Twenty eight patients with injured tendon were evaluated using an HDI 5000 Sono CT(Philips Medical Systems, Bothell, WA) machine with a high resolution, 7.5MHz hockey stick linear probe. Dynamic evaluation was performed in real time. Results: Surgery was performed after the ultrasonographic evaluation. Sonographic diagnosis and intraoperative findings were correlated. Ultrasonographic findings show tendon discontinuity, gaps, and fluid collection. Conclusion: We conclude that ultrasonography is helpful in evaluating and managing acute tendon injury. Especially, in cases of completely lacerated tendon, ultrasonography can identify the location of the proximal tendon stump and partial lacerated tendon, ultrasonographic diagnostic tool can decrease misdiagnosis.

Keywords

References

  1. Wang PT, Bonavita JA, Delone FX Jr, McClellan RM, Witham RS: Ultrasonic assistance in the diagnosis of hand flexor tendon injuries. Ann Plast Surg 42: 403, 1999 https://doi.org/10.1097/00000637-199904000-00009
  2. De Maeseneer M, Marcelis S, Osteaux M, Jager T, Machiels F, Van Roy P: Sonography of a rupture of the tendon of the extensor pollicis longus muscle: initial clinical experience and correlation with findings at cadaveric dissection. AJR Am J Roentgenol 184: 175, 2005 https://doi.org/10.2214/ajr.184.1.01840175
  3. Khaleghian R, Tonkin LJ, De Geus JJ, Lee JP: Ultrasonic examination of the flexor tendons of the fingers. J Clin Ultrasound 12: 547, 1984 https://doi.org/10.1002/jcu.1870120904
  4. Bianchi S, Martinoli C, Abdelwahab IF: High-frequency ultrasound examination of the wrist and hand. Skeletal Radiol 28: 121, 1999 https://doi.org/10.1007/s002560050488
  5. Moschilla G, Breodahl W: Sonography of the finger. AJR Am J Roentgenol 178: 1451, 2002 https://doi.org/10.2214/ajr.178.6.1781451
  6. Daenen B, Houben G, Bauduin E, Debry R, Magotteaux P: Sonography in wrist tendon pathology. J Clin Ultrasound 32: 462, 2004 https://doi.org/10.1002/jcu.20071
  7. Buyruk HM, Stam HJ, Lameris JS, Schut HA, Snijders CJ: Colour doppler ultrasound examination of hand tendon pathologies. A preliminary report. J Hand Surg [Br] 21: 469, 1996 https://doi.org/10.1016/S0266-7681(96)80048-9
  8. Ebrahim FS, De Maeseneer M, Jager T, Marcelis S, Jamadar DA, Jacobson JA: US diagnosis of UCL tears of the thumb and stener lesions: technique, pattern-based approach, and differential diagnosis. Radiographics 26: 1007, 2006 https://doi.org/10.1148/rg.264055117
  9. Lee DH, Robbin ML, Galliott R, Graveman VA: Ultrasound evaluation of flexor tendon lacerations. J Hand Surg [Am] 25: 236, 2000 https://doi.org/10.1053/jhsu.2000.jhsu25a0236
  10. Kim BC, Moon JH, Lee NH, Yang KM: Availability of ultrasound evaluation of flexor tendon injuries in fingers. J Korean Soc Reconstr Hand Surg 8: 182, 2001
  11. Matloub HS, Dzwierzynski WW, Erickson S, Sanger JR, Yousif NJ, Muoneke V: Magnetic resonance imaging scanning in the diagnosis of zone II flexor tendon rupture. J Hand Surg [Am] 21: 451, 1996 https://doi.org/10.1016/S0363-5023(96)80362-5
  12. Calandruccio JH, Steichen JB: Magnetic resonance imaging for diagnosis of digital flexor tendon rupture after primary repair. J Hand Surg [Br] 20: 289, 1995 https://doi.org/10.1016/S0266-7681(05)80080-4
  13. Clavero JA, Alomar X, Monill JM, Esplugas M, Golano P, Mendoza M, Salvador A: MR imaging of ligament and tendon injuries of the fingers. Radiographics 22: 237, 2002 https://doi.org/10.1148/radiographics.22.2.g02mr11237
  14. Scott JR, Cobby M, Taggart I: Magnetic resonance imaging of acute tendon injury in the finger. J Hand Surg [Br] 20: 286, 1995 https://doi.org/10.1016/S0266-7681(05)80079-8