Matthew P. Lungren Michael R.B. Evans Editors Ultrasonography Clinical Medicine for the Upper Covertemplate Limb Surgeon STuhbotmitlaes fAopr ard CJleinainc aLlo Muies dBircainssee Cuorvers T3_HB 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 Switzerland AG 2019, 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. 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This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland 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