Relevance of intraoperative ultrasound imaging for detecting foreign bodies in the hand: A series of 19 cases

Huttin, Christine; Díaz, J.J. Hidalgo; Vernet, P.; Facca, S.; Igeta, Yuka; Liverneaux, Philippe

doi:10.1016/j.hansur.2018.05.008

Cited by 16 publications

(19 citation statements)

References 30 publications

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“…1 Relapses due to failure to remove the migrating FB are commonly reported in man and in and animals. [2][3][4][5]10,12 In our study, 39% of the dogs were presented to a clinician after one or more surgical treatment had already been attempted, with failure in each case to remove the FB during surgery. This observation highlights the complexity the clinician is faced with in treatment of migrating FB.…”

Section: Discussionmentioning

confidence: 89%

“…However, relapses generally occur at the end of the medical treatment if the FB is still present. [2][3][4][5] Therefore, removal of the FB is essential for proper management of this condition.…”

Section: Introductionmentioning

confidence: 99%

“…In human medicine, intraoperative US (intraop-US) has been reported to aid in removing an FB from various anatomic locations. 3,4,8,[18][19][20][21][22] In veterinary medicine, this technique has also been used to guide surgical removal of an FB from the cervical region and the retroperitoneal space in cats 5 and from the lumbar 13 and cervical 2 regions in dogs. In fact, in a recent study, 13 intraop-US was used in addition to preop-US to facilitate the removal of an FB during surgery.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

et al. 2021

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Objective: To report the relative sensitivity of different diagnostic imaging (DI) techniques to detect migrating foreign bodies (FB) in subcutaneous and underlying soft tissue structures of dogs and evaluate the value of intraoperative ultrasonography (intraop-US).Study design: Retrospective study. Sample population: Forty-one dogs.Methods: Medical records (2007-2019) of dogs that underwent surgery for a chronic abscess or draining tract were included when preoperative US (preop-US), computed tomography (preop-CT), or preop-MRI, and at least 6 months of follow-up information were available. Collected data included the DI techniques used, DI findings, and surgical findings. The relative sensitivity of each preoperative DI (preop-DI) technique was calculated. Dogs were divided into two groups, dogs that underwent only a preop-DI examination (group A) and dogs that underwent an additional intraop-US (group B). The success rates for FB surgical removal were compared between groups. Results: The relative sensitivity of preop-US and preop-CT/MRI was 88% (95% CI, 70%-95.8%) and 57.1% (95% CI, 32.6%-78.6%), respectively. The success rate for FB removal was higher in group B (89.5%) than in group A (59.1%; P = .038). Clinical resolution occurred in 90.2% of dogs for a median duration of follow-up of 4.2 years (6 months to 9.3 years). Conclusion: Preoperative US seems more suitable than preop-CT/MRI for detection of migrating FB in subcutaneous and underlying soft tissue structures. The use of intraop-US increases the success rate for FB surgical removal.Clinical significance: Intraoperative US should be used in combination with preop-US to increase the likelihood of migrating FB surgical removal in dogs.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

et al. 2021

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“…It is clear that it is not American authors who have resistance or difficulty in declaration of LOE. While the current review is focused on the J Hand Surg Am and J Hand Surg Eur publications, several articles have been published reporting the LOE in other journals (Andersson et al., 2018; Boretto et al., 2019; Boyer et al., 2019; Ehrl et al., 2016; El Amiri et al., 2019; Frueh et al., 2014; Fujihara et al., 2018; Goorens et al., 2018; Hohendorff et al., 2017; 2018; Huttin et al., 2018; Kamphuis et al., 2019; Karakaplan et al., 2019; Ma et al., 2017; Mulders et al., 2017; Rijnja et al., 2017; Robinson et al., 2017; Tang et al., 2017; Thorkildsen and Rokkum, 2019; Uluyardimci et al., 2019; van Zyl et al., 2019; Wang et al., 2017; Yeo et al., 2015). These journals included Hand Surgery and Rehabilitation, Archives of Orthopaedic and Trauma Surgery and Journal of Plastic Surgery and Hand Surgery .…”

Section: Discussionmentioning

confidence: 99%

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

Massel

Lezak

Summers

et al. 2020

J Hand Surg Eur Vol

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The purpose of the study was to evaluate the trend in documentation of surgeon level of expertise among the Journal of Hand Surgery (American Volume) and the Journal of Hand Surgery (European Volume) publications. A review of Journal of Hand Surgery (American Volume) and Journal of Hand Surgery (European Volume) databases for level of expertise between January 2015 and October 2019 was performed. Of 1042 articles identified, all 115 (20%) reporting level of expertise were published in Journal of Hand Surgery (European Volume). Since 2015, there has been an increase in reported level of expertise in Journal of Hand Surgery (European Volume) (2015: 8 (7%); 2016: 15 (13%); 2017: 22 (19%); 2018: 28 (24%); 2019: 42 (37%)). In the same period, no publications have reported level of expertise in Journal of Hand Surgery (American Volume). Documenting level of expertise may provide readers with additional information for incorporation of novel techniques into their practices. It may identify procedures that require a baseline level of expertise for effective performance. Further evaluation of level of expertise criteria may improve the reliability of the numeric scale, while widespread adoption of this scale will allow future outcome analysis by level of expertise.

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“…Their diagnosis and removal can be challenging, and intraoperative ultrasound was shown to detect all radiolucent foreign bodies and provide safe guidance during their removal. 73 Finally, as recently reported by Riegler et al, highresolution ultrasound with a high-frequency probe (22 MHz) can be used to investigate the Pacinian corpuscles in the palm of the hand, presenting as echolucent dots with a diameter of 1.4 mm located in the subcutis, suggesting a novel target for potential application among subcutaneous structures. 74…”

Section: Tendonsmentioning

confidence: 71%

High-Frequency and Ultra-High Frequency Ultrasound: Musculoskeletal Imaging up to 70 MHz

Albano

Aringhieri

Messina

et al. 2020

Semin Musculoskelet Radiol

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Musculoskeletal (MSK) ultrasound has well-established advantages, able to investigate very small structures with high resolution and a quick and real-time dynamic evaluation with the possibility of contralateral comparison. Thus ultrasound has kept its own almost exclusive fields of application in daily clinical practice, and it is considered the first-level imaging technique to assess tendons, bursae, and capsuloligamentous structures of small peripheral joints as well as peripheral nerves. Up to now, however, clinical MSK ultrasound imaging could not go beyond the first 1 to 2 cm under the skin, using high-frequency probes up to 18 to 20 MHz with spatial resolution just below millimeters. We present the impressive technical advancements leading to image resolution as low as 30 µm using ultra-high frequency ultrasound (UHFUS) probes up to 70 MHz. High-frequency ultrasound and UHFUS, with frequencies ranging from 22 to 70 MHz, are promising tools to evaluate very superficial structures. In the MSK system, only two articles have assessed its value in limited case series. Future developments may be aimed to better assess ultrastructural changes of very superficial peripheral nerves and other thin structures such as pulleys, retinacula, and tendons.

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Relevance of intraoperative ultrasound imaging for detecting foreign bodies in the hand: A series of 19 cases

Cited by 16 publications

References 30 publications

Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

Comparison of imaging techniques to detect migrating foreign bodies. Relevance of preoperative and intraoperative ultrasonography for diagnosis and surgical removal

Surgeon level of expertise reported in Journal of Hand Surgery (American Volume) and (European Volume) publications

High-Frequency and Ultra-High Frequency Ultrasound: Musculoskeletal Imaging up to 70 MHz

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