Practical Point-of-Care Medical Ultrasound by James M. Daniels & Richard A. Hoppmann

Author:James M. Daniels & Richard A. Hoppmann
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Fig. 6.8(a) Scanning technique for Achilles tendon . (b) Short axis (c) Long axis (white arrow = Achilles tendon; Asterisk = Calcaneus)

Other tendons can easily be used by using these techniques described here.

Tendon Sheaths/Tenosynovitis

The first dorsal compartment of the wrist is located at the base of the thumb, right where the linear array probe can be placed in short axis and proximally until it crosses the wrist crease. At this point in time two tendons can easily be seen. If they have “halo” around them, then this correlates with deQuervain’s tenosynovitis of the first dorsal compartment. After this is identified, the tendon sheath can be injected with 1 % Lidocaine under ultrasound guidance (Fig. 6.9).

Fig. 6.9(a) Scanning technique for DeQuervain Tenosynovitis . (b) Long axis (white arrow = first dorsal compartment; black arrow = CMC joint) (c) Short axis (white arrow = first dorsal compartment; black arrow = hypoechoic fluid collection around tendon within tendon sheath; asterisk = radius)

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