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

IF 1.2 4区医学 Q3 ANATOMY & MORPHOLOGY

Surgical and Radiologic Anatomy Pub Date : 2024-04-10 DOI:10.1007/s00276-024-03355-4

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

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引用次数: 0

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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查看原文本刊更多论文

初学超声技术的手外科医生用超声波识别手部和腕部解剖结构

目的超声波正成为手外科医生的必备工具，但大多数手外科医生都是在职培训，没有任何文凭或专门培训。本研究旨在评估初学超声的手外科医生识别手部和腕部解剖结构的能力。10名住院医师和5名手外科主治医师作为超声波新手参与了这项研究。参与者接受了两项测试，要求他们使用超声波识别同一对象的 17 个解剖结构。第二次测试类似，所有参与者在 2 至 6 周后进行。成功识别的结构数量和每个结构的检测时间都被记录在案。此外，还评估了参与者的年龄、手术经验年限、手术背景（骨科或整形外科）与在第一次测试中立即完成测试或在两次测试之间取得进展的能力之间的相关性。结果第一次测试（T1）中识别出的结构平均数量为 14.1+/-2.1 (82.9%)，而第二次测试（T2）中识别出的结构平均数量为 16.2+/-0.8 (95.3%)（p = 0.001）。T1 阶段每个结构的平均检测时间为 53.4 +/- 18.9 秒，而 T2 阶段为 27.7 +/- 7.2 秒（p = 0.0001）。在两次测试中，发现解剖结构数量的增加与手术年限呈中度负相关（ρ=-0.56；p = 0.029）。其他参数既与第一次测试的能力无关，也与两次测试之间的进展无关。对他们的第一次和第二次测试进行比较后发现，在解剖结构识别和检测时间方面有很大的改进潜力，尤其是对手术经验有限的外科医生而言。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical and Radiologic Anatomy ANATOMY & MORPHOLOGY-RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

CiteScore

2.70

自引率

14.30%

发文量

183

审稿时长

4-8 weeks

期刊介绍： Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.