Thesis (M.Sc.)-Cairo University, 2023.

Bibliography: pages 103-111.

To evaluate the role of ultrasound in the assessment of different kinds of
tendon abnormalities of the hand and wrist and correlate imaging findings with
clinical data and with operative data in operable cases.
Background:
Tendons of the hand and wrist are the seat of different types of pathologies
that might be attributed to degenerative changes, inflammatory, or even rupture.
Ultrasound is currently used in identifying any possible cause of tendon
abnormalities and to direct the surgical management in operable cases saving both
time and effort.
Methods:
The study included 33 patients; 20 (60.6%) males and 13 (39.4%) females,
with a mean age of 32.17±16.35 years. All patients were subjected to thorough
history taking and clinical examination. All US examinations were performed
while the subjects were in sitting position. Ultra-sonographic examination was
performed also to the normal unaffected side. We searched for the continuity of the
tendon, possible cause of restricted mobility, pain, swelling as well as presence or
absence of adhesions, tears, or associated vascular injury or retained foreign
bodies.
In the operable cases the surgeon was required to inform the sonographer
about the operative findings to be correlated with the US findings.
III
Results:
Ultrasound serves as an excellent diagnostic modality for assessment and
management of various tendon abnormalities with providing accurate localization
and description of tendon injury patterns and pathologies which can guide surgical
or non-surgical management.
Conclusion:
Ultrasound is sensitive and specific tool in assessing variable tendons
pathologies and in aiding their surgical management if required.

تعتبر افات أوتار اليد و الرسغ من الاضطرابات الشائعة؛ فهي سبب شائع للألم وفقدان الوظيفة. قد تكون عبارة عن امراض تنكسية أو التهابية أو حتى تمزق.
يمكن تحديد نطاق تشوهات الأوتار بسهولة باستخدام الموجات فوق الصوتية، خاصة مع تطور الدقة والتردد العاليين لمعدات الموجات فوق الصوتية الحديثة بالإضافة إلى الموقع السطحي لمعظم الأوتار.
قمنا بتضمين الدراسة ثلاثة و ثلاثين مريضًا تم تشخيصهم إكلينيكيا بأن لديهم إصابات في الأوتار إما قبل أو بعد الجراحة.
أجريت هذه الدراسة لتقييم دور الموجات فوق الصوتية في تشخيص افات أوتار اليد والرسغ.
وقد تم استنتاج خلال هذا البحث ان الفحص بالموجات فوق الصوتية دور هام في تشخيص مختلف افات اوتار اليد و الرسغ بالمقارنة مع اعراض المرضى و كذلك النتائج الجراحية في الحالات القابلة للجراحة .

Issued also as CD

Text in English and abstract in Arabic & English.