The value of magnetic resonance imaging and ultrasound in diagnosing displaced rupture of the thumb ulnar collateral ligament

Hamborg-Petersen, Ellen; Torfing, Trine; Viberg, Bjarke

doi:10.1177/1753193420932496

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Ultrasound may be used for assessing for incomplete carpal tunnel release 57 , evaluating for SLIL injury 58 , diagnosing the failed repair of flexor tendon laceration 59 , and identifying larger gaps present after flexor tendon repair 60 . However, the utility in diagnosing a Stener lesion with ultrasound or magnetic resonance imaging (MRI) has been called into question, due to the low sensitivity and specificity found for both 61 .…”

Section: Imagingmentioning

confidence: 99%

What’s New in Hand and Wrist Surgery

Bohn

Wise

2022

Journal of Bone and Joint Surgery

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The intent is to serve as an update of the hand surgery literature for the practicing general orthopaedic surgeon. Carpal Tunnel SyndromeCarpal tunnel syndrome is one of the most common disorders in hand surgery. Nevertheless, the optimum method for diagnosis remains controversial. A growing body of evidence suggests that electrodiagnostic studies [1][2][3][4] are not more sensitive and specific than diagnosis by ultrasound or clinical history and examination. D'Auria et al. 5 examined the role of electrodiagnostic studies compared with clinical judgment and found that the utility of electrodiagnostic studies may be greatest in patients for whom a diagnosis of carpal tunnel syndrome is questionable. Even so, electrodiagnostic studies are performed in many patients with carpal tunnel syndrome 6 . Less expensive, office-based diagnostic tools such as the Carpal Tunnel Syndrome 6 (CTS-6), a 26-point scale that incorporates aspects of the history and clinical examination to predict the probability of carpal tunnel syndrome, and ultrasound will likely supplant the routine use of electrodiagnostic studies for carpal tunnel syndrome.Strong evidence exists for the use of night splints and corticosteroid injections for early treatment of carpal tunnel syndrome. In a comparison of the 2 treatments, 100 patients with a diagnosis of carpal tunnel syndrome were randomized to a night splint or a corticosteroid injection 7 . In the 95 patients who completed follow-up, corticosteroid injections were superior in terms of nocturnal paresthesias, pain, and Boston Carpal Tunnel Questionnaire (BCTQ) function and symptom domains at 1, 3, and 6 months.A novel study on hand function with decreased sensation showed that a digital nerve block to the thumb had the greatest negative impact on dexterity and a loss of sensation in the index and long fingers caused decreased grip and chuck pinch strength, thus explaining the common symptoms of decreased dexterity and strength in patients with carpal tunnel syndrome 8 .Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJS/G899).

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Section: Imagingmentioning

confidence: 99%

What’s New in Hand and Wrist Surgery

Bohn

Wise

2022

Journal of Bone and Joint Surgery

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“…Pathological conditions, such as nerve lesions, congenital malformations and degenerative joint disease, may lead to anatomical and histological alterations of the thenar muscles. An ultrasonography (USG) assessment of changes in the musculoskeletal system provides information on the diagnosis, evaluation and treatment of various hand conditions (Bollard et al., 2021; Hamborg-Petersen et al., 2020; Jeyapalan et al., 2008; Ling Chuang and McGrouther, 2021; Qamhawi et al., 2021; Vögelin, 2020; Yang et al., 2021). Magnetic resonance imaging (MRI) is considered the reference standard for assessing muscle size.…”

Section: Introductionmentioning

confidence: 99%

Morphometry of thenar muscles by water bath ultrasonography in trapeziometacarpal osteoarthritis: intra- and inter-rater reliability

Karademir

Kuru

Arın

et al. 2022

J Hand Surg Eur Vol

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We studied the intra- and inter-rater reliability of muscle thickness and cross-sectional area measurements of thenar muscles with a water bath ultrasonography technique in eight healthy volunteers and 16 patients with trapeziometacarpal osteoarthritis. Thickness and cross-sectional area of the opponens pollicis, abductor pollicis brevis, flexor pollicis brevis, first dorsal interosseous and adductor pollicis muscle were measured. The results showed changes in the morphometric properties of the thenar muscles in patients with trapeziometacarpal osteoarthritis (TMC OA) compared with the healthy volunteers. In the dominant-sided patients ( n = 14), there were lower cross-sectional area values for the abductor pollicis brevis and opponens pollicis muscles. In the non-dominant-sided patients ( n = 10), there were lower cross-sectional area values for the abductor pollicis brevis and flexor pollicis brevis and lower muscle thickness of the abductor pollicis brevis. The water bath ultrasonography technique could be used to diagnose and treat diseases where changes in thenar muscle thickness and cross-sectional area can be expected. Level of evidence: III

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“…Co-production and co-creation are both gaining ground at the public service production level. However, most public services are still designed and produced by bureaucratic and professionalized public agencies with little contribution from service users, citizens, and volunteers [7].…”

Section: Introductionmentioning

confidence: 99%

Peer support workers in co-production and co-creation in public mental health and addiction services: Protocol for a scoping review

Åkerblom

Ness

2021

PLoS ONE

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Worldwide, there is a growing interest to employ people with lived experiences in health and social services. Particularly in mental health and addiction services, individuals with lived experience of mental health problems enter the workplace as peer support workers (PSW´s). Their aim in the services is to bring in the perspective of service users in interactive processes at the micro and macro levels. The services´ ability to exploit the knowledge from PSW´s lived experiences will influence both the content and quality of the services, its effectiveness and its capacity to innovate and change. The concepts of co-production and co-creation are used to describe these interactive processes in the services in the literature. While co-production is aimed at improving individual services, co-creation seeks to develop service systems. This scoping review aims to provide an overview of the research status of PSW´s different involvement, in co-production and co-creation, in public mental health and addiction services. Studies describing PSW´s involvement in co-production and co-creation will be contrasted and compared. Knowledge about PSW´s involvement in co-production and co-creation is vital for understanding and further developing these interactive processes with PSW´s. The studies reviewed will describe PSW´s different types of involvement in co-production and co-creation in public mental health and addiction services or across organizational and institutional boundaries. The research question is: How are peer support workers involved in co-production and co-creation in public mental health and addiction services, and what are the described outcomes? Literature searches are conducted in Medline, PsycINFO, Embase, Oria, WorldCat, Google Scholar, Scopus, Academic Search Elite, Cinahl, and Web of Science, from the inception of each database to January 4, 2021. Expected results are that PSW´s are often described as a frontline worker who spends most of their working hours in a joint effort to co-produce with service users. Fewer studies describe PSW´s involved in interactive processes to re-design or transform public services systems. It is anticipated that this scoping review will increase the knowledge of the services’ abilities to exploit PSW´s expertise and inform policy and research.

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The value of magnetic resonance imaging and ultrasound in diagnosing displaced rupture of the thumb ulnar collateral ligament

Cited by 4 publications

References 4 publications

What’s New in Hand and Wrist Surgery

What’s New in Hand and Wrist Surgery

Morphometry of thenar muscles by water bath ultrasonography in trapeziometacarpal osteoarthritis: intra- and inter-rater reliability

Peer support workers in co-production and co-creation in public mental health and addiction services: Protocol for a scoping review

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