用于评估腕部伸肌腱滑膜鞘解剖变异的肌肉骨骼超声检查
Musculoskeletal Sonography for Evaluation of Anatomic Variations of Extensor Tendon Synovial Sheaths in the Wrist.
作者信息
Draghi Ferdinando, Bortolotto Chandra, Draghi Anna Guja, Gregoli Bettina
机构信息
Istituto Di Ricovero e Cura a Carattere Scientifico Foundation, San Matteo Medical Center, Institute of Radiology, University of Pavia, Pavia, Italy.
出版信息
J Ultrasound Med. 2015 Aug;34(8):1445-52. doi: 10.7863/ultra.34.8.1445.
OBJECTIVES
The purpose of this article is to show the anatomic variations of extensor tendon synovial sheaths in the wrist.
METHODS
Videos from 157 patients that were available in the electronic database were reviewed. Sonography showed involvement of 186 tendon sheaths.
RESULTS
We describe our center's experience with most tendon variants described in the literature and show the sonographic appearance of the most frequent ones.
CONCLUSIONS
Sonography is an accepted, safe, and efficient method for evaluating conditions characterized by effusion into the synovial sheaths of the wrist extensor tendons. Knowledge of anatomy and anatomic abnormalities of these sheaths is essential for diagnosis and for correct ultrasound-guided injection therapy or, less frequently, planning a surgical approach.
目的
本文旨在展示腕部伸肌腱滑膜鞘的解剖变异。
方法
回顾了电子数据库中157例患者的影像资料。超声检查显示186个腱鞘受累。
结果
我们阐述了本中心处理文献中所述大多数肌腱变异的经验，并展示了最常见变异的超声表现。
结论
超声检查是评估以腕部伸肌腱滑膜鞘积液为特征疾病的一种公认、安全且有效的方法。了解这些腱鞘的解剖结构及解剖异常对于诊断以及正确的超声引导下注射治疗（或较少情况下的手术方案规划）至关重要。
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