Matthews Wesley, Ellis Richard, Furness James, Hing Wayne
Bond Institute of Health and Sport, Faculty of Health Sciences and Medicine, Bond University, Robina, Gold Coast, Queensland, Australia.
Health and Rehabilitation Research Institute, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Ultrasound Med Biol. 2018 Oct;44(10):2059-2080. doi: 10.1016/j.ultrasmedbio.2018.05.022. Epub 2018 Jul 12.
Ultrasound imaging (US) is an accurate and reliable method used to diagnose tendinopathy. This systematic review was aimed at identifying common criteria and parameters used to diagnose tendinopathy, the methodological quality of studies and the predictive value of US. Nineteen studies met the inclusion criteria, with the Achilles, quadriceps and patella tendons being investigated. Overall, there was significant heterogeneity between the criteria used to diagnose tendinopathy utilising US. The methodological quality of included studies was "good." Additionally, meta-analysis revealed that US-identified abnormalities were predictive of future symptoms, and classification of tendinopathy using three US defined parameters indicated a higher relative risk of developing clinical tendinopathy compared with the use of two US-defined parameters. Further research into the development of a standardised US criterion that incorporates both clinical and US findings is required to allow for greater consistency in the diagnosis of tendinopathy.
超声成像（US）是用于诊断肌腱病的一种准确且可靠的方法。本系统评价旨在确定用于诊断肌腱病的常见标准和参数、研究的方法学质量以及超声的预测价值。19项研究符合纳入标准，研究对象为跟腱、股四头肌肌腱和髌腱。总体而言，利用超声诊断肌腱病的标准之间存在显著异质性。纳入研究的方法学质量为“良好”。此外，荟萃分析显示，超声识别出的异常可预测未来症状，与使用两个超声定义的参数相比，使用三个超声定义的参数对肌腱病进行分类表明发生临床肌腱病的相对风险更高。需要进一步研究制定一种结合临床和超声检查结果的标准化超声标准，以使肌腱病的诊断更具一致性。
