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社论评论:小儿膝关节:超声检查可能取代磁共振成像评估盘状外侧半月板。

Editorial Commentary: The Pediatric Knee: Ultrasound Could Replace Magnetic Resonance Imaging for Evaluating a Discoid Lateral Meniscus.

出版信息

Arthroscopy. 2021 Mar;37(3):891-892. doi: 10.1016/j.arthro.2021.01.011.

Abstract

Magnetic resonance imaging has been referred to as the gold standard diagnostic modality for meniscal pathology in the adult knee. However, there are multiple issues with reliance on magnetic resonance imaging for evaluating the meniscus in children. Diagnostic accuracy for meniscus pathology in children is not as high as with adults. Additionally, young children often cannot tolerate lying still for the study and require sedation, with a small but non-zero risk of anesthetic complication and risk motion artifact even with sedation. Ultrasound can be used to reliably diagnose a discoid lateral meniscus in a testing environment that is well tolerated by young children.

摘要

磁共振成像已被称为成人膝关节半月板病变的金标准诊断方式。然而,对于儿童半月板的评估,磁共振成像存在多个问题。儿童半月板病变的诊断准确性不如成人高。此外,幼儿往往无法在检查过程中保持静止,需要镇静,即使使用镇静剂,仍存在较小但并非零风险的麻醉并发症和运动伪影风险。在幼儿能够很好耐受的检查环境中,超声可用于可靠地诊断外侧盘状半月板。

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