Ultrasonographic study of the thumb pulleys and their entheses: correlations with anatomy and histology

RMD OpenPublished Cross-sectional study

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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