Shah Ankit B, Bhatnagar Nidhi
Radiodiagnosis, India.
J Clin Orthop Trauma. 2019 Jul-Aug;10(4):659-665. doi: 10.1016/j.jcot.2019.05.010. Epub 2019 May 20.
Patients with musculoskeletal complaints have either been ignored or advised investigations far beyond their means or comfort. Focusing attention only on spine and head restricted the evaluation in cases of trauma and were followed up only if the injuries were life threatening. In the same vein, the extremities often got overlooked or at best were evaluated only by plain radiographs. Soft tissue injuries were therefore often missed and not only raised the morbidity in the patient but also dissatisfaction towards the treating physician. Recent exponential improvement in medical ultrasound technology has revolutionised the field of musculoskeletal imaging. Cutting-edge technology using state-of-the-art machines and high-frequency transducers have placed it in a stronger position as compared to in the past in many aspects of musculoskeletal imaging. Also, with better techniques and understanding of the modality, under given set of circumstances MSK ultrasound has far reaching results allowing for detailed evaluation of soft tissues including nerves, ligaments and tendons.
有肌肉骨骼问题的患者要么被忽视,要么被建议进行远远超出其经济能力或舒适度的检查。仅关注脊柱和头部限制了对创伤病例的评估,只有在损伤危及生命时才进行随访。同样,四肢常常被忽视,或者最多只通过普通X光片进行评估。因此,软组织损伤常常被漏诊,这不仅增加了患者的发病率,也引起了患者对治疗医生的不满。医学超声技术最近呈指数级改进,彻底改变了肌肉骨骼成像领域。与过去相比,使用最先进机器和高频换能器的前沿技术在肌肉骨骼成像的许多方面使其处于更有利的地位。此外,随着技术的改进和对该检查方式的深入理解,在特定情况下,肌肉骨骼超声检查能产生深远的结果,可对包括神经、韧带和肌腱在内的软组织进行详细评估。