Ultrasonographic diagnosis of hand tendon injuries

Ultrasonographic examination was performed in 106 patients with clinical manifestations of wrist tendon injuries and their sequelae (in 54 patients prior to specialized treatment, in 90 - in the postoperative period and in conservative treatment). In 63 patients flexor tendons, in 36 extensor tendons, in 5 both flexors and extensors were examined. In 106 patients 139 tendons (445 ultrasonographies) were examined. Real-time «Sonoline SL-1» scanner («Siemens») with 5 and 7.5 MHz linear and sector transducers was used. The examination was performed in transverse and longitudinal planes both at rest and dynamics. In 75 patients (70.8%) scan allowed to correct the preoperative protocol, tactics of conservative treatment and postoperative management as well as to choose the adequate individual duration of immobilization. Techniques of ultrasonographic examination of the wrist soft tissues in tendon injuries is elaborated. Indications for ultrasonographic examination are determined and sonographic picture of fresh and old tendon injuries and their sequelae is described.