Oluku Jennifer, Stagl Attila, Cheema Kamalpreet S, El-Raheb Karmen, Beese Richard
Trauma and Orthopaedic Surgery, Queen Elizabeth Hospital, London, GBR.
Clinical Radiology, Queen Elizabeth Hospital, London, GBR.
Cureus. 2021 Jan 31;13(1):e13046. doi: 10.7759/cureus.13046.
Ultrasound has been described as the "stethoscope" of the radiologist; its ability to aid in clinical diagnosis with both static and dynamic imaging has allowed fast and accurate diagnosis. However, traditionally unlike a stethoscope, a large and bulky ultrasound machine made it difficult to use portably in a hospital environment where patients can be scattered across a hospital. With the development of innovative ultrasound technology, Point of Care Ultrasound (PoCUS) can readily be carried by a clinician to make a quick and timely diagnosis. In this review article we look at the uses of PoCUS within orthopaedic emergencies. Diagnosis in orthopaedics often requires further imaging beyond history taking, clinical examination and plain radiographs. In these cases PoCUS can be useful for ruling out occult fractures, diagnosing joint effusions and tendon ruptures. By aiding a speedy diagnosis, we can reduce unnecessary immobilisation, reduce inpatient stays, introduce early mobilisation and reduce harm to patients. With PoCUS becoming increasingly cheaper and more portable we feel this really can become the stethoscope of an orthopaedic surgeon.
超声被形容为放射科医生的“听诊器”；其通过静态和动态成像辅助临床诊断的能力实现了快速准确的诊断。然而，传统上与听诊器不同，大型且笨重的超声机器使得在患者可能分散于医院各处的医院环境中难以便携使用。随着创新超声技术的发展，床旁超声（PoCUS）可由临床医生轻松携带，以便快速及时地进行诊断。在这篇综述文章中，我们探讨PoCUS在骨科急症中的应用。骨科诊断通常需要在病史采集、临床检查和普通X光片之外进行进一步的影像学检查。在这些情况下，PoCUS有助于排除隐匿性骨折、诊断关节积液和肌腱断裂。通过辅助快速诊断，我们可以减少不必要的固定、缩短住院时间、尽早进行活动并减少对患者的伤害。随着PoCUS越来越便宜且更便于携带，我们认为它真的可以成为骨科医生的听诊器。
