Galletti Stefano, Oliva Francesco, Masiero Stefano, Frizziero Antonio, Galletti Riccardo, Schiavone Cosima, Salini Vincenzo, Abate Michele
Department of Medicine and Science of Aging, University "G. d'Annunzio" Chieti - Pescara, Italy.
Muscles Ligaments Tendons J. 2016 Feb 13;5(4):325-30. doi: 10.11138/mltj/2015.5.4.325. eCollection 2015 Oct-Dec.
sonoelastography helps in the detection of abnormalities not yet evident on B-mode exam.
in this observational study, we report a collection of cases of symptomatic patients without alterations at ultrasound imaging but with evidence of pathological findings at sonoelastography. Patients, with clinical history suggestive for tendinopathies or surgically treated, and negative at the ultrasound exam, were submitted to sonoelastography. Out of 846, 632 patients with positive ultrasound exam were excluded. Sonoelastography was therefore performed in the remaining 214.
the examination was positive in 168 cases: 78 patients were affected with shoulder diseases, while elbow pathology was observed in 31 subjects; patellar, Achilles and plantar fascia disorders were reported in 19, 27, and 13 patients, respectively.
sonoelastography can reveal tendon abnormalities of clinical relevance in a high percentage of cases, where the ultrasound exam was negative, making the method a complementary tool to ultrasound evaluation.
超声弹性成像有助于检测B超检查尚未发现的异常情况。
在这项观察性研究中，我们报告了一组有症状患者的病例，这些患者在超声成像中无异常，但在超声弹性成像中有病理发现的证据。有肌腱病临床病史或接受过手术治疗且超声检查为阴性的患者接受了超声弹性成像检查。在846例患者中，排除了632例超声检查阳性的患者。因此，对其余214例患者进行了超声弹性成像检查。
检查结果阳性的有168例：78例患有肩部疾病，31例观察到肘部病变；分别有19例、27例和13例患者报告有髌腱、跟腱和足底筋膜疾病。
在超声检查为阴性的高比例病例中，超声弹性成像可显示具有临床意义的肌腱异常，使该方法成为超声评估的补充工具。
