Hannesschläger G, Neumüller H, Riedelberger W, Reschauer R
Zentralröntgeninstitut, Allgemeinen Krankenhauses in Linz, Osterreich.
Ultraschall Med. 1990 Feb;11(1):33-9. doi: 10.1055/s-2007-1011526.
Ultrasonography (7.5 MHz linear scan) was employed in 129 patients with pathologic conditions of the front parts of the knee and its value was compared with other imaging modalities (x-ray, CT). Surgical or arthroscopic correlation was available in 75 patients (43 with injuries, 32 non-traumatic). In view of its high sensitivity and positive predictive value we suggest the use of sonography in these applications: 1. Differential diagnosis of periarticular swellings 2. Lesions of the knee extensor mechanism 3. Documentation of stability tests 4. Lesions of the intercondylar cartilage 5. Follow-up of therapy effects On account of the low sensitivity we do not recommend regular sonographic examination of menisci with linear scans.
对129例膝关节前部有病理状况的患者进行了超声检查（7.5兆赫线性扫描），并将其价值与其他成像方式（X线、CT）进行了比较。75例患者（43例损伤、32例非创伤性）有手术或关节镜检查结果可供对照。鉴于其高敏感性和阳性预测值，我们建议在以下情况使用超声检查：1. 关节周围肿胀的鉴别诊断；2. 膝关节伸肌机制损伤；3. 稳定性试验的记录；4. 髁间软骨损伤；5. 治疗效果的随访。由于敏感性较低，我们不建议常规使用线性扫描超声检查半月板。
