par Moungondo, Fabian 
;Van Overstraeten, Luc ;Schuind, Frederic
Référence Revue médicale de Bruxelles, 41, 6, page (348-354)
Publication Publié, 2020-12-01
;Van Overstraeten, Luc ;Schuind, Frederic Référence Revue médicale de Bruxelles, 41, 6, page (348-354)
Publication Publié, 2020-12-01
Article révisé par les pairs
| Résumé : | Introduction : Improvement of sonographic resolution with the development of high frequency probes increased the accuracy of this technique allowing best diagnostic performances in the upper limb pathologies. Particularly, another use of this technology was developed not only for diagnosis but also for treatment and this technique is now used not only by radiologists but also by others like hand surgeons to perform accurate infiltrations, nerves bloc and nowadays minimally invasive and percutaneous surgery. Materials and Methods : percutaneous sonographically guided surgery is mainly oriented on release procedure such as treatment of carpal syndrome tunnel, trigger finger or de Quevrain disease. Different surgical techniques are described, using modified punctures needles, hook, basket punch or specifically designed instrument to perform the percutaneous release. Results : some studies describe similar or better clinical outcomes after percutaneous sonographic guided release in terms of recovery time, postoperative pain and residual scar. In vitro studies revealed a good accuracy of these procedures with a low learning curve and good results in terms of release efficiency. Conclusions : Sonographic guided surgery in upper limb is a promising technique combining accuracy and efficiency. Even if today these procedures remain limited to some specific indications, their use is rapidly increasing with time and many new indications and techniques will probably appear in the next few years. |
