Laktasić-Zerjavić Nadica
Klinika za reumatske bolesti i rehabilitaciju, Referentni centar MZSS RH za reumatoidni artritis, Klinikki bolnikki centar Zagreb Kispatićeva 12, 10000 Zagreb.
Reumatizam. 2010;57(2):62-7.
Musculoskeletal ultrasound (US) is noninvasive, nonionisating and cost-effective imaging diagnostic technique. It is a useful imaging modality for the diagnosis of joint and soft tissue pathology and can be considered as an extension of physical examination. Elbow is easily accessed due to its superficial position. A high resolution, multi-frequency (10-15 MHz) linear transducer should be used. US investigation of the elbow includes scanning of the anterior, medial, lateral and posterior part of the joint. Common flexor and extensor origin at the humearal epicondyles, triceps tendon, distal biceps tendon and ulnar nerve should be analised. The most frequent US finding of the elbow is lateral epicondylitis. In inflammatory arthropaties bursal distension and joint effusion are easily accessed by US. Power Doppler sonography is used for detection of sinovial vascularisation. In this paper standardized techinque for the US examination of the elbow is described. The normal ulrasound anatomy of the elbow is illustrated.
肌肉骨骼超声（US）是一种无创、非电离且具有成本效益的成像诊断技术。它是诊断关节和软组织病变的一种有用的成像方式，可被视为体格检查的延伸。由于肘部位置表浅，易于进行超声检查。应使用高分辨率、多频率（10 - 15兆赫）的线性换能器。肘部的超声检查包括对关节的前侧、内侧、外侧和后侧进行扫描。应分析肱骨髁上的常见屈肌和伸肌起点、肱三头肌腱、肱二头肌远端肌腱和尺神经。肘部最常见的超声表现是外侧肱骨髁炎。在炎性关节病中，超声很容易检测到滑囊扩张和关节积液。能量多普勒超声用于检测滑膜血管化。本文描述了肘部超声检查的标准化技术。展示了肘部的正常超声解剖结构。
