ROLE OF HIGH RESOLUTION SONOGRAPHY IN THE EVALUATION OF NON-TRAUMATIC PAINFUL WRIST

Dr.SUMIT KUMAR; Dr.S.SAJITH; Dr.S.SHRINUVASAN; R.CHIDAMBARAM

Volume : VII, Issue : IV, April - 2018

ROLE OF HIGH RESOLUTION SONOGRAPHY IN THE EVALUATION OF NON-TRAUMATIC PAINFUL WRIST

Dr. Sumit Kumar, Dr. S. Sajith, Dr. S. Shrinuvasan, R. Chidambaram

Abstract :

Background: Determination of the cause of wrist pain is frequently a challenge. Musculoskeletal ultrasound is a quick and easy method of obtaining diagnostic information from dynamic studies with low patient discomfort.Aim: To determine the spectrum of ultrasound abnormalities in patients with non–traumatic painful wrist and to correlate the findings with clinical, laboratory & MRI findings wherever possible.Materials and Methods: The study was conducted in the Department of Radiodiagnosis, Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry. Patients having history of non–traumatic painful wrist were included in the study.Result and Conclusion: Ultrasound revealed an abnormality in 41/44 cases of painful wrist. Various findings noted include ganglion cyst, tenosynovitis, haemangioma, fiolipomatous hamartoma, rheumatoid arthritis and synovial osteochondromatosis. Ultrasound is a valuable imaging modality for evaluation of wrist pain and is able to detect abnormality in high percentage of cases. It has a limited role in assessing other osseous abnormalities.