Patient Positioning
Patient seated in front of the examiner, hand palm up resting on a examination table.
Probe Positioning
Place the transducer on a longitudinal planes over the joints and tendons of interest. Do not use any pressure – especially while looking for effusion or using doppler mode. Use dynamic scanning to check the movement of the tendons during flexion / extension or against resistance to check the pulleys.
note: in plane puncture and infiltration of A1 pulley ganglion cyst of the FPL tendon in a patient with trigger finger of the thumb