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超声评估小腿疼痛和肿胀的肌肉骨骼病因。

Sonographic assessment of musculoskeletal causes of calf pain and swelling.

作者信息

Leow Kheng Song, Chew Kian Ming, Chawla Ashish, Lim Tze Chwan

机构信息

Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Republic of Singapore.

Department of Diagnostic Radiology, Woodlands Health Campus, 2 Yishun Central 2, Tower E, Level 5, Singapore, 768024, Republic of Singapore.

出版信息

Emerg Radiol. 2019 Jun;26(3):349-359. doi: 10.1007/s10140-019-01680-5. Epub 2019 Feb 13.

DOI:10.1007/s10140-019-01680-5
PMID:30761444
Abstract

Calf pain or swelling is a common presentation to the emergency department. The differential diagnoses are wide. Deep vein thrombosis (DVT) is often the first diagnosis to be excluded given its potentially fatal complications. Musculoskeletal causes of calf pain or swelling such as Baker's cyst, muscle or tendon tear, soft tissue infection, and inflammation are not uncommon and can often be confidently diagnosed with ultrasonography (US). Familiarity with these conditions and the sonographic findings would be useful in making timely and correct diagnosis.

摘要

小腿疼痛或肿胀是急诊科常见的症状。鉴别诊断范围广泛。鉴于深静脉血栓形成(DVT)可能导致致命并发症,它通常是首先要排除的诊断。小腿疼痛或肿胀的肌肉骨骼原因,如贝克囊肿、肌肉或肌腱撕裂、软组织感染和炎症并不少见,通常通过超声检查(US)就能可靠地诊断出来。熟悉这些病症及其超声表现有助于及时做出正确诊断。

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本文引用的文献

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Magnetic resonance imaging of painful swollen legs in the emergency department: a pictorial essay.急诊科疼痛性肿胀腿部的磁共振成像:一篇图文并茂的文章。
Emerg Radiol. 2017 Oct;24(5):577-584. doi: 10.1007/s10140-017-1514-6. Epub 2017 May 18.
2
Sonography first for subcutaneous abscess and cellulitis evaluation.首先采用超声检查评估皮下脓肿和蜂窝织炎。
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Pictorial essay: Ultrasonography in 'tennis leg'.图文并茂的文章:超声检查在“网球腿”中的应用
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The anatomy of the Achilles tendon.跟腱的解剖结构。
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Musculoskeletal infections: ultrasound appearances.肌肉骨骼感染:超声表现
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Tropical pyomyositis (myositis tropicans): current perspective.热带脓性肌炎:当前观点
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8
Sonography of lower limb muscle injury.下肢肌肉损伤的超声检查
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Sonography of muscle hernias.肌肉疝的超声检查
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Sonography of the painful calf: differential considerations.疼痛小腿的超声检查:鉴别诊断考量
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