超声检查在评估掰手腕后肘部内侧副韧带损伤中的应用

Use of sonography in assessing elbow medial collateral ligament injury after arm wrestling.

作者信息

Lee Yuh-Shan, Chou Yi-Hong, Chiou Hong-Jen, Lai Yi-Chen

机构信息

Department of Rehabilitation, Keelung City Municipal Hospital, Keelung, Taiwan, ROC.

Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC; National Defense Medical Center, Taipei, Taiwan, ROC.

出版信息

J Chin Med Assoc. 2014 Mar;77(3):163-5. doi: 10.1016/j.jcma.2013.11.003. Epub 2013 Dec 9.

DOI:10.1016/j.jcma.2013.11.003

PMID:24331237

Abstract

Medial collateral ligament injury is an infrequent occurrence in arm wrestlers. We report here a male patient who injured his left elbow while arm wrestling. Ultrasonography showed a medial collateral ligament tear. We assessed both elbows using ultrasonography at his 3-year follow-up visit. Dynamic ultrasonography showed a decreased gap at the ulnotrochlear joint space in his left elbow. A medial collateral ligament tear in his right elbow was also evident using ultrasonography. This case report shows the advantages of ultrasonography, especially dynamic ultrasonography, in the evaluation of elbow injury. Ultrasonography provides more information than valgus stress radiography, arthrography, and magnetic resonance imaging in the assessment of medial collateral ligament injury. In addition, the contralateral side can readily be assessed for comparison during ultrasonography.

摘要

内侧副韧带损伤在掰手腕者中并不常见。我们在此报告一名男性患者，他在掰手腕时左肘部受伤。超声检查显示内侧副韧带撕裂。在他3年的随访中，我们使用超声对双肘进行了评估。动态超声检查显示其左肘尺骨滑车关节间隙变窄。超声检查还发现他的右肘内侧副韧带撕裂。本病例报告显示了超声检查，尤其是动态超声检查在评估肘部损伤方面的优势。在评估内侧副韧带损伤时，超声检查比外翻应力X线摄影、关节造影和磁共振成像能提供更多信息。此外，超声检查时可以很容易地对侧肘部进行评估以作比较。