Acta Chir Orthop Traumatol Cech. 2025; 92(Suppl.1):21-26 | DOI: 10.55095/achot2025/019

Ultrasound-Guided Interventions for the Wrist and HandCurrent concepts review

KAMAL MEZIAN1, TOMÁŠ NOVOTNÝ2, 3, ONDŘEJ NAŇKA4
1 Klinika rehabilitačního lékařství 1. lékařské fakulty Univerzity Karlovy a Všeobecné fakultní nemocnice, Praha
2 Ortopedická klinika Fakulty zdravotnických studií Univerzity J. E. Purkyně v Ústí nad Labem a Krajské zdravotní, a. s. - Masarykovy nemocnice v Ústí nad Labem
3 Ortopedická klinika, Lékařská fakulta v Hradci Králové, Univerzita Karlova, Praha
4 Anatomický ústav 1. lékařské fakulty Univerzity Karlovy, Praha

Ultrasound-guided interventions for the wrist and hand provide valuable therapeutic options for managing various conditions. This article reviews common procedures including injections into the radiocarpal joint, first metacarpophalangeal joint, ganglions, and tendon sheaths, as well as the interventional management of De Quervain's tenosynovitis, trigger finger, and carpal tunnel syndrome. Detailed instructions are provided on probe selection, patient positioning, and procedural techniques tailored to each anatomical target. The importance of careful needle placement, and appropriate risk management is emphasized. Risks such as nerve injury, tendon rupture, and damage to adjacent structures are considered. Advanced techniques like hydrodissection in carpal tunnel syndrome are also described. Text is supplemented with anatomical notes.

Accepted: May 14, 2025; Published: August 1, 2025  Show citation

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MEZIAN K, NOVOTNÝ T, NAŇKA O. Ultrasound-Guided Interventions for the Wrist and Hand. Acta Chir Orthop Traumatol Cech. 2025;92(Suppl.1):21-26. doi: 10.55095/achot2025/019. PubMed PMID: 40878601.
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