Ultrasonography for the Upper Limb Surgeon

194 Pages·2022·18.472 MB·English

by  Thomas Apard, Jean Louis Brasseur

Matthew P. Lungren
Michael R.B. Evans
Editors
Ultrasonography
Clinical Medicine
for the Upper
Covertemplate
Limb Surgeon
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Editors
Second Edition
1 32 123
Ultrasonography for the Upper Limb
Surgeon
Thomas Apard • Jean Louis Brasseur
Editors
Ultrasonography for the
Upper Limb Surgeon
Editors
Thomas Apard Jean Louis Brasseur
Centre d’échochirurgie de la main Radio-diagnostic
Hôpital Privé de Versailles Pitié-Salpêtrière Hospital
Versailles, France Paris, France
Translation from the French language edition: L'échographie pour le chirurgien du
membre supérieur by Thomas Apard, and Jean Louis Brasseur, © Sauramps Medical,
Montpellier, France, 2019. Published by Sauramps Medical. All Rights Reserved.
Original French edition published by Sauramps Medical, Montpellier, France, 2019
ISBN 978-3-030-84233-8 ISBN 978-3-030-84234-5 (eBook)
https://doi.org/10.1007/978-3-030-84234-5
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature
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Special thanks to Dr. Melissa Odoemene for her help in this
translation of the original French.
Foreword
Ultrasound is a rapidly expanding imaging tool. Initially reserved for radiolo-
gists only, it was gradually adopted by other specialties: anesthetists, rheuma-
tologists, general practitioners. The noninvasive, nonradiant, portable, and
dynamic real-time imaging character makes this tool a real extension of the
practitioner's senses.
In recent years, surgeons of the upper limb, whether they are plastic sur-
geons or orthopedists, have more and more become aware of the potential of
this tool. Some classical techniques have already been converted under ultra-
sound control, such as the release of the median nerve to the carpal canal or
the cure of the trigger finger. The term ultrasonosurgery has thus been conse-
crated. Much remains to be discovered and codified, though.
The future of upper limb ultrasound surgery now depends on the research
and teaching of this transversal discipline requiring long learning. This is how
the interuniversity diploma (IUD) in ultrasonosurgery saw its creation in
2012, which has gathered a growing number of practitioners, ranging from
the intern to experienced senior surgeon. In the same logic, Thomas Apard
and Jean Louis Brasseur offer us, in this book, an already existing knowledge
base in ultrasound, as well as various ways of development. This book is
probably just the beginning of a long and exciting story that remains to be
written.
Marc Soubeyrand
Conservative and Traumatological
Surgeon Service, Bicêtre Hospital
Le Kremlin-Bicêtre, France
vii
Preface
Ultrasonography is one of the best examinations to explore upper limb disor-
ders from the shoulder to the digit. It is the only dynamic and comparative
tool easily accessible for the surgeon without side effects.
Indeed, ultrasonography is actually available in all the departments of
your hospital: in the operating room with the anesthesiologists, in the hospi-
talization area thanks to the radiologists, and in the emergency room with the
traumatologists.
Recent innovations permit to see superficially (high-frequency probes),
precisely (smaller probes), and with greater software for an effective Mode B
or Doppler mode. The screens are smaller and more convenient as in the past
in order to propose a better panel of machines for the practitioner from the
pocket scan to the big machine with rollers.
All these evolutions involve a good exploration and as the result, a relevant
education: it is the purpose of this book to unify all these talented ultrasound
practitioners to teach you how to get the better of the machines for your
patients.
Versailles, France Thomas Apard
Paris, France Jean Louis Brasseur
ix
Contents
Part I Shoulder
1 Ultrasound in the Pathology of the Rotator Cuff . . . . . . . . . . . . . 3
Jean Louis Brasseur
2 Ultrasound of the Tendon of the Long Biceps Operated . . . . . . . 23
H. Ghersi, O. Marès, R. Coulomb, A. Laborde, and
L. Moscato
3 Ultrasound of Coracoid Process . . . . . . . . . . . . . . . . . . . . . . . . . . 29
A. Moraux
4 Ultrasound of the Acromioclavicular Joint . . . . . . . . . . . . . . . . . . 45
Guillaume Mercy
5 Ultrasound on Shoulder Prosthesis . . . . . . . . . . . . . . . . . . . . . . . . 71
F. Dordain
Part II Elbow
6 Ultrasound of the Lateral Face of the Elbow . . . . . . . . . . . . . . . . 77
O. Marès, L. Moscato, P. Kouyoumdjian, N. Cellier, and
R. Coulomb
7 Ultrasound of the Median Nerve at the Elbow . . . . . . . . . . . . . . . 83
G. Candelier
8 Ultrasound of the Ulnar Nerve at the Elbow . . . . . . . . . . . . . . . . 89
Jean Louis Brasseur
9 Ultrasound Radial Nerve of the Elbow . . . . . . . . . . . . . . . . . . . . . 101
G. Morvan and V. Vuillemin
Part III Forearm
10 Ultrasound of the Interosseous Membrane of the Forearm . . . . 115
Marc Soubeyrand
11 Ultrasound of the Pronator Quadratus PQ . . . . . . . . . . . . . . . . . 121
Jean Louis Brasseur
xi
xii Contents
Part IV Wrist/Hand
12 Ultrasound of the Extensor Carpi Ulnaris . . . . . . . . . . . . . . . . . . 131
Jean Louis Brasseur
13 Ultrasound of the Scapholunate Ligament . . . . . . . . . . . . . . . . . . 143
Thomas Apard
14 Ultrasound of the Carpal Tunnel . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Thomas Apard
15 Ultrasound of the TFCC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
Jean Louis Brasseur
16 Ultrasound of De Quervain’s Tendonitis . . . . . . . . . . . . . . . . . . . . 157
P. Croutzet
17 Ultrasound of Rhizarthrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
Thomas Apard and Jean Louis Brasseur
Part V F inger
18 Ultrasound of the Flexor Tendons of the Fingers . . . . . . . . . . . . . 169
Thomas Apard
19 Ultrasound Extensor Tendons of the Fingers . . . . . . . . . . . . . . . . 173
G. Morvan, V. Vuillemin, and J. -L. Drapé
20 Ultrasound of the Metacarpophalangeal Joint of the Thumb . . 185
B. Bordet, J. Borne, A. Ponsot, P. -F. Chaillot, and O. Fantino
21 Ultrasound of the Nail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
Thomas Apard and R. Baran
Part I
Shoulder