RESUMO
Ultrasound is becoming more prevalent as physicians gain comfort in its diagnostic and therapeutic uses. It allows for both static and dynamic evaluation of conditions and assists in therapeutic injections of joints and tendons. Proper technique is necessary for successful use of this modality. Appropriate coding for physician reimbursement is required. We discuss common wrist and hand pathology for which ultrasound may be useful as an adjunct to diagnosis and treatment and provide an overview of technique and reimbursement codes when using ultrasound in a variety of situations.
Assuntos
Assistência Ambulatorial , Codificação Clínica , Reembolso de Seguro de Saúde , Salas Cirúrgicas , Ultrassonografia , Parafusos Ósseos , Síndrome do Túnel Carpal/diagnóstico por imagem , Ligamento Colateral Ulnar/diagnóstico por imagem , Ligamento Colateral Ulnar/lesões , Doença de De Quervain/diagnóstico por imagem , Fixação Interna de Fraturas/métodos , Mãos/diagnóstico por imagem , Humanos , Injeções Intra-Articulares , Cuidados Intraoperatórios , Punho/diagnóstico por imagemRESUMO
Ultrasonography facilitates dynamic, real-time evaluation of bones, joints, tendons, nerves, and vessels, making it an ideal imaging modality for hand and wrist conditions. Ultrasonography can depict masses and fluid collections, help locate radiolucent foreign bodies, characterize traumatic or overuse tendon or ligament pathology, and help evaluate compressive peripheral neuropathy and microvascular blood flow. Additionally, this modality improves the accuracy of therapeutic intra-articular or peritendinous injections and facilitates aspiration of fluid collections, such as ganglia.
