High‐resolution ultrasound approach to quadrangular joint in carpal boss: Everything musculoskeletal sonographer should know

Author:

Corvino Antonio1ORCID,Ricci Vincenzo2ORCID,Cocco Giulio3ORCID,Pizzi Andrea Delli4,Tafuri Domenico1,Corvino Fabio5ORCID,Nevalainen Mika T.6ORCID,Chew Felix S.7,Mespreuve Marc8,Catalano Orlando9

Affiliation:

1. Medical, Movement and Wellbeing Sciences Department University of Naples “Parthenope” Naples Italy

2. Physical and Rehabilitation Medicine Unit Luigi Sacco University Hospital Milan Italy

3. Department of Neuroscience, Imaging and Clinical Sciences University “G. D'Annunzio” Chieti Italy

4. Departiment of Innovative Technologies in Medicine and Dentistry University “G. D'Annunzio” Chieti Italy

5. Vascular and Interventional Radiology Department Cardarelli Hospital Naples Italy

6. Department of Diagnostic Radiology Oulu University Hospital Oulu Finland

7. Department of Radiology University of Washington Seattle Washington USA

8. Department of Diagnostic Sciences, UZ Gent Faculty of Medicine and Health Sciences Ghent Belgium

9. Radiology Unit Istituto Diagnostico Varelli Naples Italy

Abstract

AbstractAt the quadrangular joint (QAJ) of the carpus, a rare bony protuberance called carpal boss (CB) may occur. This bone abnormality may be due to osteophytes development or os styloideum. Symptomatic patients may complain pain, swelling, and restrictions in hand motion. These symptoms result from joint degenerative‐inflammatory changes, development of ganglion cyst/bursitis, or tendons pathology. Correct diagnosis and appropriate management can be achieved through high‐resolution ultrasonography (HR‐US). The purpose of this review is to define the pathology spectrum around and within the QAJ in CB. The role of HR‐US is highlighted and the standard technique for the QAJ assessment is described.

Publisher

Wiley

Reference54 articles.

1. Current Concepts of the Carpal Boss: Pathophysiology, Symptoms, Clinical or Imaging Diagnosis, and Management

2. carpe bossu;Le FJ;Bull Mem Soc Nat Chir,1931

3. Nouvelle observation de "carpe bossu.";Fiolle J;Bull Mem Soc Nat Chir,1932

4. Derrieres observations de carpe bossu;Foille J;Bull Mem Soc Nat Chir,1932

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