Gitto Salvatore, Draghi Ferdinando
Radiology Institute, Scientific Institute for Research, Hospitalization, and Health Care, Policlinico San Matteo Foundation, University of Pavia, Pavia, Italy.
J Ultrasound Med. 2016 May;35(5):1081-94. doi: 10.7863/ultra.15.06105. Epub 2016 Apr 1.
Sonography allows for rapid, cost-effective, noninvasive, and dynamic evaluation of soft tissue structures, thus representing a valuable tool for ruling out musculoskeletal disorders of the wrist. Because of the complexity of the wrist joint, sonographic training and familiarity with normal and variant anatomy are needed to avoid misdiagnosis and improper treatment. The aim of this article is to enlighten readers about the structures representing normal findings or common variants during sonographic evaluations of the wrist. The main text reviews the pertinent gross anatomy and procedures that are recommended to assess the soft tissue structures of the wrist, with particular emphasis given to tendons, nerves, and ligaments. Detailed explanations of the scanning techniques and sonographic appearance of the wrist structures are provided in the figure legends.
超声检查能够对软组织结构进行快速、经济高效、无创且动态的评估,因此是排除腕部肌肉骨骼疾病的一项有价值的工具。由于腕关节结构复杂,需要进行超声检查培训并熟悉正常及变异解剖结构,以避免误诊和不恰当的治疗。本文旨在让读者了解在腕部超声检查中代表正常表现或常见变异的结构。正文回顾了评估腕部软组织结构时推荐的相关大体解剖和操作步骤,特别强调了肌腱、神经和韧带。图注中提供了腕部结构扫描技术及超声表现的详细解释。