68-year-old patient complaining of left wrist pain on thumb extension (no obvious trauma).
Ultrasound: Fluid layer in the sheath of the extensor pollicis brevis and abductor pollicis longus tendons. No intra-articular effusion or edema in the cutaneous and subcutaneous soft tissues. No hypervascularization on Doppler.
What is the next step?
This is De Quervain’s tenosynovitis, which warrants an ultrasound-guided injection.
Partagez :
Imagerie effectuée au CIL par le Dr Amir MEHDIZADE, spécialiste FMH en Radiologie
Spécialiste en Neuroradiologie, Ancien Chef de Clinique aux Hôpitaux Universitaires de Genève (HUG)
Médecin Consultant aux Hôpitaux Universitaires de Genève (HUG)
Clinical Fellow in Breast and Body Imaging, Memorial Sloan Kettering, NEW-YORK
Clinical Fellow in Musculoskelatal Imaging, Hospital for Special Surgery, Cornel University, NEW-YORK
UNITES FONCTIONNELLES
RADIOLOGIE CONVENTIONNELLE
IRM CORPS ENTIER
SCANNER LOW DOSE
MAMMOGRAPHIE MICRODOSE
ECHOGRAPHIE-DOPPLER
FIBROSCAN
PONCTIONS INFILTRATIONS
DENSITOMETRIE
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