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Sonografie des entzündlich, degenerativ und kompressiv veränderten Gewebes

  • Chapter
Ultraschalldiagnostik der Hand

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Zusammenfassung

Mit hochauflösenden Schallköpfen können beim Morbus Dupuytren die verschiedenen Manifestationen beurteilt sowie operative und konservative Therapien geplant werden. Die Untersuchung von Sehnen und Muskeln ist besonders aufschlussreich, da die Sonografie eine dynamische Bildgebung ist. Zu den der Ultraschalldiagnostik zugängigen nichttraumatisch bedingten Nervenveränderungen zählen Kompressionsneuropathien und Neuritiden der peripheren Anteile der Nn. medianus, ulnaris und radialis und deren Endäste. Durch die komplette Reflexion der Ultraschallwellen an der Knochenoberfläche lassen sich periostale Konturirregularitäten sehr gut objektivieren. Vor allem im Rahmen der Osteomyelitisfrühdiagnostik hat die Sonografie große Vorteile. Gelenkinfekte, Synovitiden, Ganglien, arthrotische Veränderungen und ihre Ursachen werden ausführlich behandelt und auf Verteilungsmuster einzelner entzündlich-degenerativer Erkrankungen und ihrer diagnostischen Kriterien eingegangen.

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Authors and Affiliations

  1. Schulthess-Klinik, Lengghalde 2, 8008, Zürich, Schweiz

    Dr. med. Sebastian Kluge

  2. Handchirurgie und Chirurgie der peripheren Nerven, Universitätsspital Bern, Inselspital, Freiburgstrasse 10, 3010, Bern, Schweiz

    Prof. Dr. med. Esther Vögelin

  3. Inselspital, Universitätsspital Bern, Freiburgstrasse 10, 3010, Bern, Schweiz

    Dr. med. Bettina Juon

  4. Handchirurgie, Uniklinik Balgrist, Forchstrasse 340, 8008, Zürich, Schweiz

    Dr. med. Andreas Schweizer

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  1. Dr. med. Bettina Juon
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  2. Dr. med. Sebastian Kluge
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  3. Dr. med. Andreas Schweizer
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  4. Prof. Dr. med. Esther Vögelin
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Correspondence to Bettina Juon , Sebastian Kluge , Andreas Schweizer , Esther Vögelin , Bettina Juon , Esther Vögelin , Andreas Schweizer , Sebastian Kluge , Sebastian Kluge or Sebastian Kluge .

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  1. Schulthess Klinik, Zürich, Schweiz

    Sebastian Kluge

  2. Handchirurgie Seefeld, Zürich, Schweiz

    Sebastian Kluge

  3. Klinik Impuls, Wetzikon, Schweiz

    Sebastian Kluge

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Juon, B., Kluge, S., Schweizer, A., Vögelin, E. (2015). Sonografie des entzündlich, degenerativ und kompressiv veränderten Gewebes. In: Kluge, S. (eds) Ultraschalldiagnostik der Hand. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44940-6_5

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