Clinical Trial Details
— Status: Not yet recruiting
Administrative data
| NCT number |
NCT05323643 |
| Other study ID # |
US in hand & fingers |
| Secondary ID |
|
| Status |
Not yet recruiting |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
December 1, 2022 |
| Est. completion date |
December 1, 2023 |
Study information
| Verified date |
April 2022 |
| Source |
Assiut University |
| Contact |
Wafaa Ahmed, Master degree |
| Phone |
01068066176 |
| Email |
Wafaa.20134481[@]med.aun.edu.eg |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
Assessment of the role of USG in the evaluation of tendon and ligament abnormalities in hand
and fingers in traumatic & non-traumatic causes.
Description:
The hand and fingers are the most important functional parts of the body in daily life
activities and are prone to traumatic injuries and susceptible to a wide array of
inflammatory diseases. Tendon abnormalities of the hand and the fingers are common disorders,
particularly among athletes and in the elderly. These abnormalities may be symptomatic
degenerative changes, inflammatory, or rupture. Tendon disorders are a common cause of pain
and loss of function. Chronic tendon disorders are much more common than acute injuries and
are the result of overuse or age-related tendon degeneration.
There is a wide spectrum of hand and finger pathological conditions that can be demonstrated
using Ultrasonography. Superficial structures of the wrist, hand, and fingers, including the
tendons, ligaments, nerves, and vessels, are amenable to imaging with high-frequency US. US
can depict masses and fluid collections, help locate radiolucent foreign bodies, characterize
traumatic or overuse tendon or ligament pathology, and help evaluate compressive peripheral
neuropathy and microvascular blood flow. Additionally, this modality improves the accuracy of
therapeutic intra-articular or peritendinous injections and facilitates aspiration of fluid
collections, such as ganglia.
Due to the improvement of imaging techniques in the last years, the performance of
ultrasonography (US) in detecting pathological changes in the musculoskeletal system
dramatically increased. Moreover, dynamic examination allows better evaluation of the type
and extension of the lesions. An anatomical course of the nerves and tendons can be depicted
by US, thus offering valuable information on the exact location and type of possible lesions.
The role of USG in the assessment of tendon disorders is steadily increasing due to its being
low cost, fast, wide-spread availability, and non-invasive. Additionally, it may offer a
dynamic assessment of the flexor and extensor tendons, collateral ligaments, and supporting
structures of the fingers, such as the extensor hood and the volar plate, as well as
space-occupying lesions.
The quality of USG assessment of anatomical structures in the hand has highly improved over
the last time. The development of high resolution with the highest possible frequency of
modern ultrasound equipment and the superficial location of most tendons allows the spectrum
of tendon abnormalities to be easily depicted with USG. US facilitates dynamic, real-time
evaluation of bones, joints, tendons, nerves, and vessels, making it an ideal imaging
modality for hand and finger conditions.
