Ultrasonography of the Hand in Rheumatology
This book is an essential guide for rheumatologists using ultrasound to study musculoskeletal structures and diagnose rheumatic diseases of the hand. A fundamental understanding of anatomy is key to identifying and interpreting pathological findings on im
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Peter Vince Balint Peter Mandl Editors
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Ultrasonography of the Hand in Rheumatology
Peter Vince Balint • Peter Mandl Editors
Ultrasonography of the Hand in Rheumatology
Editors Peter Vince Balint 3rd Rheumatology Department National Institute of Rheumatology and Physiotherapy Budapest, Hungary
Peter Mandl Division of Rheumatology, Department of Internal Medicine III Medical University of Vienna Vienna, Austria
ISBN 978-3-319-74206-9 ISBN 978-3-319-74207-6 (eBook) https://doi.org/10.1007/978-3-319-74207-6 Library of Congress Control Number: 2018939901 © Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by the registered company Springer International Publishing AG part of Springer Nature The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
In loving memory of my mother Elvira and my mother-in-law Klára Peter Vince Balint To Klara, Sara, Robert and Simon for their support, patience and love Peter Mandl
Preface
“An ultrasonic voyage around the hand and wrist”
In the era of William Shakespeare, one of the greatest masters of the English language, the five human senses, namely vision, audition, gustation, olfaction and somatosensation, were termed outward wits, while inward wits included common wit, imagination, fantasy, estimation (more recently referred to as instinct) and memory. It seems as though many rheumatologists have found their sixth sense in ultrasonography: using sound to permeate the skin through the surrounding soft tissue into synovial joints. Ultrasound developed in the animal kingdom as a means to facilitate hunting and movement through echolocation. In more modern times physicians adopted ultrasound from the field of engineering where it was first utilized for non-destructiv
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