Learn advanced, practical techniques for diagnostic hand ultrasound in this final session of a four-part series from FUJIFILM Sonosite. The educaitonal webinar focuses on high-value anatomy and scanning approaches that help you confidently evaluate small, intricate structures in the fingers and thumb.
You will learn how to identify and assess the dorsal extensor hood complex, including the extensor tendon, superficial and deep sagittal bands, central slip, lateral bands, and the triangular ligament at the DIP. The webinar emphasises using dynamic manoeuvres—flexion/extension, gentle stress, and tissue “wiggle”—to distinguish tendons, ligaments, and joint capsule recesses, and to reduce common pitfalls such as anisotropy.
A dedicated segment walks through nail anatomy with both conventional and ultra-high-frequency imaging, showing how to optimise gel standoff, probe angle, and Doppler settings to visualise the nail root, matrix, and nail halter. You will also learn how to recognise Doppler artefacts to assist you with Doppler signal assessment.
Collateral ligament scanning is covered in detail at the MCP and PIP joints, including how to locate primary versus accessory collateral ligaments and how to follow their continuity toward the volar plate. The thumb UCL evaluation receives special attention, including dynamic stress testing and assessment of the adductor aponeurosis to support recognition of a Stener lesion pattern.
Finally, the webinar reviews flexor tendon anatomy and the pulley system (A1–A5), including practical tips to find pulleys reliably, understand normal variations, and visualise Camper’s chiasm and the superficialis/profundus relationship. This session helps you refine your scanning workflow, improve diagnostic confidence, and bring higher-resolution point-of-care ultrasound assessments to hand and finger injuries.
What You'll Learn
- Dynamic manoeuvres to help differentiate intricate layers of anatomy.
- Advanced scanning techniques and transducer handling for complex exams.
- Visualisation of difficult ligament and tendon insertions
- Discover the benefits of ultra-high frequency when imaging the dorsal and volar hand.
Daniel Shelton, RT(R) is the Director of Musculoskeletal Market Development for FUJIFILM Sonosite. Daniel spent 18 years as a dedicated musculoskeletal sonographer and 12 of those years have been here at Sonosite. He now leads musculoskeletal market development, where he works to spread the word about the benefits of point-of-care ultrasound.
This educational webinar is intended for healthcare professionals and not for patients or consumers. The material is provided for general educational purposes, as a reference and a supplement to professional experience, education and training, and should not be considered the exclusive source for this type of information. This educational webinar is not intended to recommend any device for a particular indication or to provide indications for use for any device. At all times, it is the professional responsibility of the practitioner to exercise independent clinical judgment in each particular situation. Fujifilm assumes no responsibility or liability for any misuse of the information imparted in this webinar. This educational webinar does not supplement, replace, or supersede device labeling, including instructions for use, which accompanies any FUJIFILM Sonosite product.