Ultrasound-Guided Interventional Procedures of the Wrist and Hand: Anatomy, Indications, and Techniques

Phys Med Rehabil Clin N Am. 2016 Aug;27(3):589-605. doi: 10.1016/j.pmr.2016.04.003. Epub 2016 Jun 6.


Acute and chronic wrist and hand conditions are commonly seen by neuromuscular and musculoskeletal specialists. High-frequency diagnostic ultrasonography (US) has facilitated advances in the diagnosis and interventional management of wrist and hand disorders. US provides excellent soft tissue resolution, accessibility, portability, lack of ionizing radiation, and the ability to dynamically assess disorders and precisely guide interventional procedures. This article review the relevant anatomy, indications, and interventional techniques for common disorders of the wrist and hand, including radiocarpal joint arthritis, scaphotrapeziotrapezoidal joint arthritis, trapeziometacarpal joint arthritis, phalangeal joint arthritis, first dorsal compartment tenosynovitis, ganglion cysts, and stenosing tenosynovitis.

Keywords: Arthritis; Finger; Ganglion; Hand; Tendinopathy; Trigger finger; Ultrasound; Wrist.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Arthritis / drug therapy*
  • Carpal Joints / diagnostic imaging
  • Carpometacarpal Joints / diagnostic imaging
  • De Quervain Disease / diagnostic imaging
  • De Quervain Disease / drug therapy
  • Finger Joint / diagnostic imaging
  • Hand Joints / diagnostic imaging*
  • Humans
  • Injections, Intra-Articular / methods
  • Metacarpophalangeal Joint / diagnostic imaging
  • Synovial Cyst / diagnostic imaging
  • Synovial Cyst / drug therapy
  • Tendinopathy / diagnostic imaging
  • Tendinopathy / drug therapy*
  • Tendons / anatomy & histology
  • Tendons / diagnostic imaging
  • Tendons / surgery
  • Ultrasonography, Interventional / methods*
  • Wrist / diagnostic imaging
  • Wrist Joint / diagnostic imaging


  • Adrenal Cortex Hormones