创伤性股四头肌肌腱撕裂的超声检查与手术对照

Sonography of traumatic quadriceps tendon tears with surgical correlation.

作者信息

Foley Ryan, Fessell David, Yablon Corrie, Nadig Jeffrey, Brandon Catherine, Jacobson Jon

机构信息

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan USA (R.F., D.F., C.Y., C.B., J.J.); and Department of Radiology, Henry Ford Hospital, Detroit, Michigan USA (J.N.).

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan USA (R.F., D.F., C.Y., C.B., J.J.); and Department of Radiology, Henry Ford Hospital, Detroit, Michigan USA (J.N.)

出版信息

J Ultrasound Med. 2015 May;34(5):805-10. doi: 10.7863/ultra.34.5.805.

DOI:10.7863/ultra.34.5.805

PMID:25911713

Abstract

OBJECTIVES

Using surgical correlation as the reference standard, the purpose of this study was to assess the ability of sonography to detect quadriceps tendon tears that require surgical treatment (high-grade partial tears and complete ruptures).

METHODS

Two hundred thirty-nine consecutive sonographic reports of the knee (May 2001 to October 2008) with subsequent surgical correlation were retrospectively reviewed for surgical intervention on the quadriceps tendon. All sonograms were blindly and retrospectively reviewed. Surgical findings were compared with results from the consensus review. Results from the original sonographic reports (nonretrospective interpretation) were also compared with the surgical findings.

RESULTS

On the retrospective consensus review, the sensitivity (23 of 23), specificity (16 of 16), and accuracy (39 of 39) were 100% for identifying high-grade partial tears or complete ruptures versus a normal quadriceps tendon. For the original, nonretrospective sonographic reports, 22 of 23 high-grade partial tears or complete ruptures (96%) were correctly diagnosed.

CONCLUSIONS

Sonography is an effective tool for identifying quadriceps tendon tears that require surgical treatment (high-grade partial tears and complete ruptures).

摘要