Fukushima Yaeko, Ray Jeremiah, Kraus Emily, Syrop Isaac P, Fredericson Michael
Division of Physical Medicine and Rehabilitation, Department of Orthopedic Surgery, Stanford University, Stanford, California, USA.
J Ultrasound Med. 2018 Oct;37(10):2297-2307. doi: 10.1002/jum.14588. Epub 2018 Apr 14.
Bone stress injuries are common in military personnel and athletes. The delayed diagnosis of a bone stress injury can lead to a more severe injury that requires a longer period of treatment. The early detection of bone stress injuries is a central part of management. Currently, the reference standard for detecting bone stress injuries is magnetic resonance imaging. However, the expanding use of point-of-care ultrasonography (US) may enable the early detection of bone stress injuries in the clinical setting. In this article, we review the US detection of bone stress injuries, as well as discuss the rationale for the use of US in the diagnosis of these injuries.
骨应力损伤在军人和运动员中很常见。骨应力损伤的延迟诊断可能导致更严重的损伤,需要更长的治疗时间。早期发现骨应力损伤是治疗的核心部分。目前,检测骨应力损伤的参考标准是磁共振成像。然而,即时超声检查(US)的广泛应用可能使在临床环境中早期发现骨应力损伤成为可能。在本文中,我们回顾了超声对骨应力损伤的检测,并讨论了在这些损伤诊断中使用超声的基本原理。