Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain
Aglan, L., Fathi, N., Hakeem, S., Maklad, S., Elnoby, F. (2022). Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain. EKB Journal Management System, 2(2), 118-126. doi: 10.21608/aumj.2022.156806.1016
Loay Aglan; Nihal Fathi; Sally Hakeem; Salah Maklad; Fatma Elnoby. "Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain". EKB Journal Management System, 2, 2, 2022, 118-126. doi: 10.21608/aumj.2022.156806.1016
Aglan, L., Fathi, N., Hakeem, S., Maklad, S., Elnoby, F. (2022). 'Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain', EKB Journal Management System, 2(2), pp. 118-126. doi: 10.21608/aumj.2022.156806.1016
Aglan, L., Fathi, N., Hakeem, S., Maklad, S., Elnoby, F. Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain. EKB Journal Management System, 2022; 2(2): 118-126. doi: 10.21608/aumj.2022.156806.1016

Role of High-resolution Ultrasound Examination in Assessment of Early Undiagnosed Hand Pain

Aswan University Medical Journal
Volume 2, Issue 2, December 2022, Page 118-126  XML PDF (956.62 K)
Document Type: Original Article
DOI: 10.21608/aumj.2022.156806.1016
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Authors
Loay Aglan1; Nihal Fathi2; Sally Hakeem email 1; Salah Makladorcid 3; Fatma Elnoby2
1Department of Rheumatology & Rehabilitation, Faculty of Medicine, Aswan University, Egypt
2Department of Rheumatology & Rehabilitation, Faculty of Medicine, Assiut University, Egypt
3Department of Diagnostic & Interventional Radiology, Faculty of Medicine, Aswan University, Egypt
Abstract
ABSTRACT
Background: Ultrasound (US) is a non-invasive method that enables differentiation between different causes of hand and wrist pain and evaluation of several joints during early disease and in mild symptoms. Aim: To assess the role of High-Resolution Musculoskeletal Ultrasound (MSUS) in diagnosis of early undiagnosed hand and wrist pain and their causes. Patients and Methods: A cross sectional study involved 100 patients with non-traumatic painful wrist. Appropriate clinical history and relevant laboratory findings (RA factor, ESR, CRP, anti CCP) were recorded. Musculoskeletal ultrasound (MSUS) of wrists and hands was performed. Results We found that synovitis was found in 69 (69%) patients, erosions in 28 (28%) patients, double contour sign in 6 (6%) patients, osteophytes in 33 (33%) patients, synovial hypertrophy in 5 (5%) patients, subcutaneous fat thickness was found in 2 (2%) patients at wrist dorsal view only, extensor tenosynovitis in 70 (70%) patients and flexor tenosynovitis 36 (36%) patients. Conclusion: Ultrasound is considered an effective tool for diagnosis of early undiagnosed hand and wrist pain and evaluation of several pathologic conditions of the hand and wrist.
Keywords
Hand pain; Synovitis; Musculoskeletal ultrasound; Wrist pain
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