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Procedure-Oriented Sectional Anatomy of the Wrist and Hand

Chiou-Tan, Faye Y. MD; Harrell, John S. MD; Furr-Stimming, Erin MD; Zhang, Han MD; Taber, Katherine H. PhD

Journal of Computer Assisted Tomography: July/August 2012 - Volume 36 - Issue 4 - p 502–504
doi: 10.1097/RCT.0b013e31825adf17
Graphic Anatomy

This is the third in a series of papers related to procedure-oriented joint anatomy. This article reviews the anatomy of the wrist and hand and its relationship to procedures in the clinical setting with or without ultrasound/electromyography (EMG) guidance. Anatomically correct axial and coronal schematics allow injections to be envisioned relative to clinically important anatomy for common wrist and finger procedures. Cross-sectional schematics for the wrist and hand were drawn as they appear in imaging projections. The levels and planes of cross section were selected to highlight important anatomic landmarks for injection. It is hoped that these schematics allow for safer and more accurate needle procedures in the wrist and hand area.

From the *Department of Physical Medicine and Rehabilitation, Baylor College of Medicine, Center for Trauma Rehabilitation Research, Quentin Mease Hospital, Harris County Hospital District, Houston, TX; †Departments of Neurology and ‡Neurobiology and Anatomy, University of Texas School of Medicine, Houston, TX; and §Veterans Affairs Mid-Atlantic (VISN 6) Mental Illness Research, Education, and Clinical Center, Durham, NC; and Research and Education Service Line, W G Hefner Veterans Affairs Medical Center, Salisbury, NC.

Received for publication April 4, 2012; accepted April 17, 2012.

Reprints: Faye Chiou-Tan, MD, Department of Physical Medicine and Rehabilitation, Quentin Mease Hospital, Suite No. 240, 3601 N MacGregor Way, Houston, TX 77004 (email:

The authors report no conflicts of interest.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.