Tesch C
Orthopädie-Chirurgie, Große Bleichen 32, 20354, Hamburg, Deutschland.
Med Klin Intensivmed Notfmed. 2018 Nov;113(8):631-637. doi: 10.1007/s00063-018-0486-y. Epub 2018 Oct 2.
Focused sonography of the musculoskeletal system in the emergency room should be done for time-effective and symptom-oriented detection of suspected findings. Analogous to other point-of-care ultrasound in emergency medicine, it is by definition not a complete ultrasound examination of the respective organ (e.g., shoulder, elbow). It allows detection of important findings (luxation, effusion, fracture or rupture) with good to excellent diagnostic accuracy. Afterwards computed tomography, magnetic resonance imaging or complete sonographic examination (according to the guidelines of the working group Bewegungsorgane der Deutschen Gesellschaft für Ultraschall in der Medizin, which are identical to those of the working group Orthopädie und Unfallchirurgie) should be added as clinically required. Sonography of the musculoskeletal system in the emergency room can be performed on the lying or sitting patient, except when examining the shoulder, in which there is a difference. The interventional procedures are safe, useful and time saving.
急诊室对肌肉骨骼系统进行聚焦超声检查，应以高效且针对症状的方式检测可疑病变。与急诊医学中的其他床旁超声检查类似，从定义上讲，它并非对相应器官（如肩部、肘部）进行的完整超声检查。它能够以良好至优异的诊断准确性检测出重要病变（脱位、积液、骨折或破裂）。之后，应根据临床需要补充计算机断层扫描、磁共振成像或完整的超声检查（按照德国医学超声学会运动器官工作组的指南，该指南与矫形外科学与创伤外科学工作组的指南相同）。急诊室肌肉骨骼系统的超声检查可在患者卧位或坐位时进行，但检查肩部时除外，此时存在差异。介入操作安全、有用且节省时间。
