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Bildgebende Verfahren am Handgelenk

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Zusammenfassung

Verletzungen des Handgelenks sind als Folge der der komplexen anatomischen Verhältnisse auf engem Raum schwierig zu diagnostizieren und erfordern eine exakte Beurteilung. Ausgehend von der klinischen Untersuchung können gezielt konventionelle Röntgendiagnostik und Schichtbildverfahren eingesetzt werden. Beim Verdacht auf knöcherne Verletzungen ist die Computertomographie (CT) wertvoll, wobei die Schnittführung abhängig von den zu untersuchenden Strukturen ist. Die Indikation zur Kernspintomographie (MRT) ist mit gezielter Fragestellung bei der Abklärung von Band- und Weichteilverletzungen oder zur Klärung der Durchblutungssituation und Vitalität zu stellen. Andere Untersuchungsmodalitäten spielen am Handgelenk aktuell eine untergeordnete Rolle. Technische und methodische Innovationen ermöglichen zunehmend genauere Visualisierung von Verletzungsart, Ausmaß sowie Klassifikation und damit eine gezieltere Therapie. Vorraussetzung zum gezielten Einsatz ist jedoch eine differenzierte Beurteilung und Kenntnis der zur Verfügung stehenden Verfahren.

Abstract

Injuries of the wrist are difficult to diagnose because of the complex and narrow anatomic structures. Based on precise clinical examination, X-rays, CT, and MRI are valuable additional tools that can be used. If a fracture is suspected a CT scan is preferable. In the case of a suspected soft tissue or ligamentous injury and non-vital fragments or necrosis MRI is suitable. Other diagnostic tools are presently of minor importance for the wrist. Technical innovations allow better visualization and classification of lesions. However, exact knowledge of the tools is important.

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Authors and Affiliations

  1. Unfallchirurgische Klinik, Medizinische Hochschule, Hannover

    R. Meier & C. Krettek

  2. Klinik für Handchirurgie, Bad Neustadt

    H. Krimmer

  3. Unfallchirurgische Klinik, Medizinische Hochschule (MHH), 30625, Hannover

    R. Meier

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  1. R. Meier
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  2. C. Krettek
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  3. H. Krimmer
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Correspondence to R. Meier.

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Meier, R., Krettek, C. & Krimmer, H. Bildgebende Verfahren am Handgelenk. Unfallchirurg 106, 999–1009 (2003). https://doi.org/10.1007/s00113-003-0696-4

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  • DOI: https://doi.org/10.1007/s00113-003-0696-4

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