chapter  41
76 Pages

Imaging and Surgical Principles in Hand Surgery

Standard and new imaging techniques are available and are necessary for the diagnosis and treatment of hand and wrist pathology. Despite the increasing use and availability of newer imaging modalities, radiographs remain an important technique for evaluating the patient with hand and wrist pathology. Plain x-rays are still the imaging technique of rst choice for the assessment of abnormalities of wrist and hand. Magnetic resonance imaging (MRI) and computed tomography (CT) may be indicated depending on the clinical ndings. If a bone injury is suspected, CT is the better choice. For soft tissue disorders, MRI is indicated, except for intrinsic ligaments and cartilage, for which arthrogram followed by CT (arthro-CT) is the most sensitive tool.