Foley Ryan, Fessell David, Yablon Corrie, Nadig Jeffrey, Brandon Catherine, Jacobson Jon
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.)
J Ultrasound Med. 2015 May;34(5):805-10. doi: 10.7863/ultra.34.5.805.
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).
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.
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.
Sonography is an effective tool for identifying quadriceps tendon tears that require surgical treatment (high-grade partial tears and complete ruptures).
以手术相关性作为参考标准，本研究旨在评估超声检测需要手术治疗的股四头肌肌腱撕裂（高度部分撕裂和完全断裂）的能力。
回顾性分析2001年5月至2008年10月期间239例连续的膝关节超声报告，这些报告随后进行了手术相关性评估，以确定股四头肌肌腱是否需要手术干预。所有超声图像均进行盲法回顾性分析。将手术结果与共识性回顾结果进行比较。还将原始超声报告（非回顾性解读）的结果与手术结果进行比较。
在回顾性共识性回顾中，对于识别高度部分撕裂或完全断裂与正常股四头肌肌腱相比，敏感性（23例中的23例）、特异性（16例中的16例）和准确性（39例中的39例）均为100%。对于原始的非回顾性超声报告，23例高度部分撕裂或完全断裂中有22例（96%）被正确诊断。
超声是识别需要手术治疗的股四头肌肌腱撕裂（高度部分撕裂和完全断裂）的有效工具。
