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类风湿关节炎早期膝关节囊韧带装置的超声检查

[The ultrasonography of the capsular ligamentous apparatus of the knee joint in the early stages of rheumatoid arthritis].

作者信息

Herasymenko S I, Huzhevs'kyĭ I V, Vovchenko H Ia, Babko A N

出版信息

Lik Sprava. 1999 Jul(5):82-6.

PMID:10822686
Abstract

With the purpose of finding out informative value of the ultrasound investigation designed to study the capsular and ligamentous apparatus of the knee joint in its instability during the early stages of rheumatoid arthritis and correlating clinical symptoms with ultrasonographic findings an examination was done of twenty joints of patients in early stages of rheumatoid arthritis presenting with clinical signs of anterior-medial instability. Sonography confirmed the presence of instability and permitted the qualitative assessment of its degree to be done. The method allows us to disclose relative incompetence of the anterior-medial sector of the knee joint in those patients presenting with early stages of rheumatoid arthritis, which is one of causes of instability, with the cruciate and lateral ligaments remaining uninjured. Ultrasonography makes it possible to perform a quantitative assessment of the degree of instability of the joint irrespective of the clinical test used and experience of the orthopedist.

摘要

为了确定用于研究类风湿性关节炎早期膝关节囊和韧带结构不稳定情况的超声检查的信息价值,并将临床症状与超声检查结果相关联,对20例患有类风湿性关节炎早期且有前内侧不稳定临床体征的患者的关节进行了检查。超声检查证实了不稳定的存在,并允许对其程度进行定性评估。该方法使我们能够揭示那些患有类风湿性关节炎早期的患者膝关节前内侧部分相对功能不全,这是不稳定的原因之一,而交叉韧带和外侧韧带未受损伤。超声检查使得无论使用何种临床测试以及骨科医生的经验如何,都能够对关节不稳定程度进行定量评估。

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