Radunovic Goran, Vlad Violeta, Micu Mihaela C, Nestorova Rodina, Petranova Tzvetanka, Porta Francesco, Iagnocco Annamaria
Institute of Rheumatology, Medical School, University of Belgrade, Belgrade, Serbia.
Med Ultrason. 2012 Jun;14(2):141-6.
Ultrasonography of the elbow is a very helpful and reliable diagnostic procedure for a broad spectrum of rheumatic and orthopedic conditions, representing a possible substitute to magnetic resonance imaging for evaluation of soft tissues of the elbow. Musculoskeletal ultrasound (US) shows many advantages over other imaging modalities, probably the most important being its capability to perform a dynamic assessment of musculoskeletal elements with patient's partnership and observation during examination. In addition, ultrasonography is cost effective, easy available, and has excellent and multiplanar capability to visualize superficial soft tissue structures. Among all imaging procedures, US is highly accepted by patients. US assessment of the elbow requires good operator experience in the assessment of normal anatomy, and suitable high-quality equipment. US of the elbow provides detailed information including joint effusions, medial and lateral epicondylitis, tears of the distal biceps and triceps tendons, radial and ulnar collateral ligament tears, ulnar nerve entrapment, cubital or olecranon bursitis and intra-articular loose bodies. The aim of this paper is to review the screening technique and the basic normal and pathological findings in elbow US.
肘部超声检查对于多种风湿性和骨科疾病来说是一种非常有用且可靠的诊断方法，可作为评估肘部软组织的磁共振成像的替代手段。肌肉骨骼超声（US）相较于其他成像方式具有诸多优势，其中最重要的可能是它能够在患者配合及检查过程中的观察下对肌肉骨骼结构进行动态评估。此外，超声检查具有成本效益、易于获取，并且具备出色的多平面能力来可视化浅表软组织结构。在所有成像检查中，超声检查很受患者欢迎。肘部超声检查需要操作者具备评估正常解剖结构的良好经验以及合适的高质量设备。肘部超声检查可提供详细信息，包括关节积液、内外侧肱骨髁炎、肱二头肌和肱三头肌远端肌腱撕裂、桡侧和尺侧副韧带撕裂、尺神经卡压、肘或鹰嘴滑囊炎以及关节内游离体。本文旨在综述肘部超声检查的筛查技术以及基本的正常和病理表现。
