Following a review of the bony anatomy of the hand, the five rays comprised of the metacarpal bones and phalanges, three articulations within each ray are identified. Joints are assessed for the presence of effusion, synovitis, or bony erosions. The technique for a dynamic evaluation by flexing the fingers to better visualize the hypoechoic hyaline articular cartilage and the underlying bony cortex is demonstrated. Techniques to evaluate for gamekeeper’s thumb, Stener lesion, and Dupuytren’s contracture are covered. The five annular pulleys and three cruciate pulleys which constrain the flexor tendons to the bones of the second through fifth fingers are identified.

Viewing Time: 36 min
Customized Review: 27 min

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CME
This module is approved for a maximum of 1.0 AMA PRA Category 1 credit(s)™.