Ultrasonographic study of the thumb pulleys and their entheses: correlations with anatomy and histology
Authors' conclusion
US is an effective and reliable tool to detect and study thumb pulleys, even though the identification of their entheses may be challenging and require advanced US skills.
Study context
- Population
- Cadaveric thumbs and thumbs from healthy controls240 thumb pulleys analysed
- Participants
- 20 vs 40
- Exposure
- Ultrasound (US) vs gross anatomy and histology of thumb pulleys and their entheses
- Cadaveric thumbsn = 20
- Healthy controls (HC)n = 40
- Outcome
- Characterisation of the thumb annular pulley system, including entheses, by anatomy, histology and US
Methodological detailscadaveric anatomical and histological correlation, healthy controls, reliability exercise
- Cadaveric anatomical and histological correlation
- Healthy controls
- Reliability exercise
Main finding
As reported in the abstract
Correlation between anatomical and US measurement of thumb pulley thickness (cadaveric study), r
0.8
Entheses detected by US
267 of 480
55.6%
Observational data: associations, not effects.
Original publication
Ultrasonographic study of the thumb pulleys and their entheses: correlations with anatomy and histology. RMD Open. Published 29 April 2025. doi:10. 1136/ rmdopen-2025-005544
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