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10-04-2024 | Original Article

Ultrasound identification of hand and wrist anatomical structures by hand surgeons new to ultrasonographic techniques

Authors: Solène Vigny, Eva Rubinstenn, Paul Michelin, Thibaut Sabatier, Octave Dhellemmes, Fabrice Duparc, Isabelle Auquit-Aukbur, Matthieu Lalevee

Published in: Surgical and Radiologic Anatomy

Abstract

Purpose

Ultrasound is becoming an essential tool for hand surgeons, but most of them are trained on the job, without any diploma or dedicated training. The aim of this study was to assess the ability of hand surgeons new to ultrasound to identify hand and wrist anatomical structures.

Methods

A monocentric study was conducted from January 2022 to April 2022. Ten residents and five attending hand surgeons, ultrasound novices, were involved in this study. The participants underwent two tests, wherein they were required to identify 17 anatomical structures using ultrasound, on the same subject. The second test was similar and carried out 2 to 6 weeks later by all participants. The number of structures successfully identified and if it was the case, the detection time per structure, were recorded. The correlations between participants age, years of surgical experience, surgical background (orthopedic or plastic) and the ability to perform immediately during the first test or to progress between the two tests were also assessed.

Results

The average number of structures identified during the first test (T1) was 14.1+/-2.1 (82.9%), versus 16.2+/-0.8 (95.3%) structures during the second test (T2) (p = 0.001). The mean detection time per structure was 53.4 +/- 18.9 s during T1 versus 27.7 +/- 7.2 s during T2 (p < 0.0001). A moderate negative correlation between the progression in the number of anatomical structures identified between the two tests and the years of surgical experience (ρ=-0.56; p = 0.029) was found. The other parameters were neither correlated with the ability to perform at the first test nor with the progression between the two tests.

Conclusion

Hand surgeons new to ultrasound are most of the time able to identify hand and wrist anatomical structures. Comparison of their first and second tests showed significant potential for improvement in anatomical structure identification and detection time of those, especially in surgeons with limited surgical experience.

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Title: Ultrasound identification of hand and wrist anatomical structures by hand surgeons new to ultrasonographic techniques
Authors: Solène Vigny
Eva Rubinstenn
Paul Michelin
Thibaut Sabatier
Octave Dhellemmes
Fabrice Duparc
Isabelle Auquit-Aukbur
Matthieu Lalevee
Publication date: 10-04-2024
Publisher: Springer Paris
Published in: Surgical and Radiologic Anatomy
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-024-03355-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ultrasound identification of hand and wrist anatomical structures by hand surgeons new to ultrasonographic techniques

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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