gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Sonographical parameters of the finger pulley system in healthy adults

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Christian Spies - Abteilung für Handchirurgie, Vulpius Klinik, Bad Rappenau, Germany
  • Dominik Bassemir - Abteilung für Handchirurgie, Vulpius Klinik, Bad Rappenau, Germany
  • Thomas Bruckner - The Department of Medical Biometry and Informatics, Heidelberg, Germany
  • Peter Hahn - Abteilung für Handchirurgie, Vulpius Klinik, Bad Rappenau, Germany
  • Lars P. Müller - Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Köln, Germany
  • Frank Unglaub - Abteilung für Handchirurgie, Vulpius Klinik, Bad Rappenau, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-25

doi: 10.3205/19ifssh0291, urn:nbn:de:0183-19ifssh02911

Veröffentlicht: 6. Februar 2020

© 2020 Spies et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: To establish normative values of tendon to bone distances (TBDs) to evaluate the A2 and A4 annular pulley integrity, we hypothesized that these values corre- late with gender, athletic exercise, occupation, individual's age and body height.

Methods: Ultrasonography of 200 healthy individuals was performed prospectively. TBDs for the A2 and A4 pulley sections were measured for all fingers. Evaluation was performed in resting position and active forced flexion. Examination parameters included gender, age, body height, occupation, athletic exercise level, and hand dominance. Assessment of resting position and active forced flexion was done.

Results and Conclusions: No clinically relevant differences of TBDs with respect to the aforementioned parameters were observed. But TBDs were significantly greater in active forced flexion than in resting position for all measured pulley sections. Intraobserver reliability was very satisfactory.

Establishing normative values will help to detect injured pulleys more precisely and examination should be performed both in resting position and active forced flexion.